Individual
ANNIE TIFFANY SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3141 E COAST HWY, CORONA DEL MAR, CA 92625-2330
(949) 675-0414
Mailing address
3141 EAST COAST HIGHWAY, CORONA DEL MAR, CA 92625
(949) 675-0414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46552
CA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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