Individual
HIBA NABIL ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1400
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040241
MI
183500000X
Pharmacist
5315109299
MI
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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