AUSTIN LEE MATTSON

GRAND RAPIDS, MI
NPI1114777919
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: MI  5351015438)
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
AUSTIN LEE MATTSON
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525-2402
Phone number: 616-365-1221
Mailing Address
AUSTIN LEE MATTSON
515 E EXCHANGE ST
SPRING LAKE, MI 49456-1903
Phone number: 906-281-4761