Miss MELONEZE RENEE BLACKMAN --
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1831318849- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 22777 W 11 MILE RD, SOUTHFIELD, MI, 480332152
- Phone
- (248) 358-0727
- Fax
- (248) 358-9394
Specialties & Taxonomies
Pharmacy Technician
Primary License: MI #300101041151852