Individual
BRIAN TUONG GIA DINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 EAGLE RIDGE WAY, MILPITAS, CA 95035-7817
(408) 262-2839
Mailing address
1125 EAGLE RIDGE WAY, MILPITAS, CA 95035-7817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68578
CA
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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