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Individual

BEN LEONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
639 WATERFALL ISLE, ALAMEDA, CA 94501-5647
(510) 566-8828
Mailing address
639 WATERFALL ISLE, ALAMEDA, CA 94501-5647
(510) 566-8828

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28454
CA

Other

Enumeration date
07/22/2014
Last updated
07/22/2014
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