Individual
MISS LINH PHUONG HOANG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 UNIVERSITY AVE, RIVERSIDE, CA 92507-5343
(951) 684-5661
Mailing address
5155 CENTRAL AVE, # 24, RIVERSIDE, CA 92504-1818
(951) 275-4649
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
99588
CA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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