Individual
ALISA LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 RANCHO DEL MAR, APTOS, CA 95003-3902
(831) 688-2775
Mailing address
16 RANCHO DEL MAR, APTOS, CA 95003-3902
(831) 688-2775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46086
CA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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