Individual
BRIANA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17284 SLOVER AVE, FONTANA, CA 92337-7584
(909) 609-3326
Mailing address
36 SEPULVEDA, RANCHO SANTA MARGARITA, CA 92688-2736
(949) 690-6628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37548
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
07/26/2018
Last updated
07/26/2018
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