Individual provider · NPI-1
Rafaela Vantasi
Pharmacy Technician · Livonia, MI
NPI number1144919309
StatusActive
Last updated in NPPESMay 3, 2023
Details
- NPI
- 1144919309
- Entity type
- Individual (NPI-1)
- Name
- Rafaela Vantasi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2023
- Certification date
- May 3, 2023
- Last updated
- May 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 5303042109 | MI | Yes |
Practice location
37399 6 Mile RdLivonia, MI 48152-2775
Phone 734-464-7960
Mailing address
37399 6 Mile RdLivonia, MI 48152-2775
Phone 734-464-7960
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