IMABONG UDOFIA

DETROIT, MI
NPI1740491877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302032030)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Miss IMABONG UDOFIA rph
15531 GRAND RIVER AVE
DETROIT, MI 48227-2222
Phone number: 313-272-0202
Mailing Address
Miss IMABONG UDOFIA rph
19180 W 11 MILE RD
LATHRUP VILLAGE, MI 48076-3207
Phone number: 248-569-3036