Individual
HAE ROH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5818 BELLFLOWER BLVD, LAKEWOOD, CA 90713-1058
(562) 866-5795
(562) 866-0257
Mailing address
5818 BELLFLOWER BLVD, LAKEWOOD, CA 90713-1058
(562) 866-5795
(562) 866-0257
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
40158
CA
Other
Enumeration date
12/30/2014
Last updated
03/06/2017
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