Individual
KIMMY LUYEN TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21555 21 MILE RD, MACOMB, MI 48044-2961
(586) 421-9877
Mailing address
21555 21 MILE RD, MACOMB, MI 48044-2961
(586) 421-9877
(586) 421-9886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5315187892
MI
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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