Individual
KATHLEEN FABIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 344-0705
Mailing address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 344-0705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028495
MI
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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