Individual
MARIE GRACE DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3615
(906) 779-2163
(906) 779-0012
Mailing address
10 WILLOWBROOK CT, MADISON, WI 53719-6200
(906) 776-1085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034304
MI
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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