Individual
ADAEZE JULIET IYOHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
880 SIR FRANCIS DRAKE BLVD, SAN ANSELMO, CA 94960-1914
(415) 456-4442
Mailing address
1465 LATITUDES WAY, RICHMOND, CA 94804-4509
(734) 589-5092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85585
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85585
RPH LICENSE
CA
Enumeration date
02/11/2022
Last updated
02/11/2022
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