Individual
MIRNA MASSOD-LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23191 MARTER RD, SAINT CLAIR SHORES, MI 48080-2717
(586) 541-1370
Mailing address
20903 HARPER AVE, HARPER WOODS, MI 48225-1132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302413661
MI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302413661
MI
Other
Enumeration date
05/12/2022
Last updated
11/30/2022
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