Individual
ALICE GUYENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 S BROOKHURST ST, ANAHEIM, CA 92804-3580
(714) 778-3123
Mailing address
611 S BROOKHURST ST, ANAHEIM, CA 92804-3580
(714) 778-3123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY60618
CA
Other
Enumeration date
02/21/2014
Last updated
08/25/2020
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