Individual
MR. ALLEN OVIEMUNO ICHIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3795 W SHIELDS AVE, FRESNO, CA 93722-5247
(559) 271-5030
(559) 271-5041
Mailing address
3795 W SHIELDS AVE, FRESNO, CA 93722-5247
(559) 271-5030
(559) 271-5041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63478
CA
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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