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Individual

ANDREA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
17284 SLOVER AVE STE 204, FONTANA, CA 92337-7584
(714) 900-0041
Mailing address
1495 MULVILLE ST, FULLERTON, CA 92833-5653
(714) 900-0041

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202220742
VA
183500000X
Pharmacist
Primary
87680
CA

Other

Enumeration date
08/22/2023
Last updated
08/22/2023
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