Individual
ANGELINA PANULEE HER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 SANGUINETTI RD, SONORA, CA 95370-6214
(209) 533-8273
Mailing address
835 W HARNEY LN APT 42, LODI, CA 95240-7027
(209) 507-6034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
89598
CA
Other
Enumeration date
07/18/2024
Last updated
09/17/2024
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