Individual
AMANDA NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4495 FIRST ST, LIVERMORE, CA 94551-4915
(925) 455-2522
Mailing address
4163 GRAPELEAF WAY, SAN JOSE, CA 95135-1146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77505
CA
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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