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Individual

WEIXI CHUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4100 LONE TREE WAY, ANTIOCH, CA 94531-6201
(925) 522-0150
Mailing address
4100 LONE TREE WAY, ANTIOCH, CA 94531-6201

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
66678
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66678
CALIFORNIA LICENSE
CA
Enumeration date
07/08/2014
Last updated
07/08/2014
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