SAMEH MOUSA

PORTAGE, MI
NPI1235723800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302041394)
Enumeration Date2021-02-24
Last Update Date2021-02-24
Business Address
SAMEH MOUSA
1716 W MILHAM AVE
PORTAGE, MI 49024-1230
Phone number: 269-861-6518
Mailing Address
SAMEH MOUSA
1152 BRYANT DR
EAST LANSING, MI 48823-2442
Phone number: