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Organization
RITE
Active
Organization
RITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE TENERELLI (MANAGER OF CLINICAL SERVICES)
(916) 631-7591
Entity
Organization
Contact information
Practice address
5128 E 2ND ST, LONG BEACH, CA 90803-5322
(562) 433-0456
(562) 433-4586
Mailing address
5128 E 2ND ST, LONG BEACH, CA 90803-5322
(562) 433-0456
(562) 433-4586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49649
CA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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