Individual
SUSAN MIKHAELA JALALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2914 SANDRA PL, PALO ALTO, CA 94303-4015
(650) 219-7697
(650) 251-9298
Mailing address
2914 SANDRA PL, PALO ALTO, CA 94303-4015
(650) 219-7697
(650) 251-9298
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
41577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41577
PHARMACIST LICENSE NBR
CA
Enumeration date
06/03/2008
Last updated
06/03/2008
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