Individual
AN GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 W. ALLUVIAL, SUITE 101, FRESNO, CA 93711
(800) 797-3543
Mailing address
740 W. ALLUVIAL, SUITE 101, FRESNO, CA 93711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74055
CA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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