Individual
ANNA HANGTHANH LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 W BIRCH ST, CALEXICO, CA 92231-2348
(760) 768-3169
Mailing address
7434 MESA COLLEGE DR APT 15, SAN DIEGO, CA 92111-4924
(858) 888-0768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80194
CA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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