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Individual

DR. ELISABELLE SORIYA SISSI DE VANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
740 W ALLUVIAL AVE STE 101, FRESNO, CA 93711-5509
(800) 797-3543
(877) 222-7764
Mailing address
1870 JEFFERSON ST APT 304, SAN FRANCISCO, CA 94123-1193
(310) 883-5788

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
47815
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
47815
CA
1835P1200X
Pharmacotherapy Pharmacist
Primary
47815
CA
1835X0200X
Oncology Pharmacist
47815
CA

Other

Enumeration date
11/08/2013
Last updated
10/29/2024
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