Individual
ANGELINE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9435 ELK GROVE BLVD, ELK GROVE, CA 95624-5013
(916) 714-6955
Mailing address
8425 ELK GROVE FLORIN RD, ELK GROVE, CA 95624-9518
(916) 686-3951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56976
CA
Other
Enumeration date
06/25/2012
Last updated
12/06/2013
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