Individual
BICH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 W BRIGGSMORE AVE, MODESTO, CA 95350-3791
(209) 521-5713
Mailing address
99 SOUTHSEA CT, SAN JOSE, CA 95138-1822
(408) 728-5776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
82858
CA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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