Individual
AN MINH NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 DE ANZA BLVD, SAN MATEO, CA 94402-3987
(650) 572-2514
(650) 572-2790
Mailing address
124 DE ANZA BLVD, SAN MATEO, CA 94402-3987
(650) 572-2514
(650) 572-2790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60104
CA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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