Individual
ANGELA CARLA CONCEPCION NICDAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10570 TWIN CITIES RD, GALT, CA 95632-8874
(209) 744-1380
Mailing address
7032 MAITA CIR, SACRAMENTO, CA 95820-2114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83865
CA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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