Individual
JINAN HARKOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3255 OWEN RD, FENTON, MI 48430-1755
(810) 714-2406
Mailing address
21665 AMBASSADOR DR, MACOMB, MI 48044-1892
(248) 722-0440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038436
MI
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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