Individual
HANA L HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-7657
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
41895
TN
1835X0200X
Oncology Pharmacist
Primary
41895
TN
Other
Enumeration date
03/03/2020
Last updated
03/08/2024
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