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Individual

DR. ASHLEY THAO TIEU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
3535 S LA CIENEGA BLVD, LOS ANGELES, CA 90016-4407
(310) 895-1132
Mailing address
PO BOX 693, LAKEWOOD, CA 90714-0693
(562) 682-8203

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73816
CA

Other

Enumeration date
11/02/2015
Last updated
11/02/2015
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