Individual
ANHTIEN KHIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40640 CALIFORNIA OAKS RD, MURRIETA, CA 92562-5857
(951) 677-2762
Mailing address
11360 SPITFIRE RD, SAN DIEGO, CA 92126-5524
(858) 413-6626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66779
CA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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