Individual
LIEN PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-3308
(626) 441-3702
Mailing address
147 S AVENUE 22, LOS ANGELES, CA 90031-2204
(323) 206-2797
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH40716
CA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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