Individual
ALYSSA NAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9846 SELVA WAY, ELK GROVE, CA 95757-8251
(916) 802-4982
Mailing address
9846 SELVA WAY, ELK GROVE, CA 95757-8251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76909
CA
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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