Individual
HETA MEWADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 LAKE VILLAGE TRL, APT 306, AUBURN HILLS, MI 48326-1182
(773) 682-8621
Mailing address
260 LAKE VILLAGE TRL, APT 306, AUBURN HILLS, MI 48326-1182
(773) 682-8621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042696
MI
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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