Individual
BERLINDA PHOMMALAYHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9057 ARROW RTE, SUITE 170, RANCHO CUCAMONGA, CA 91730-4452
(909) 466-6701
(909) 476-7747
Mailing address
9057 ARROW RTE, SUITE 170, RANCHO CUCAMONGA, CA 91730-4452
(909) 466-6701
(909) 476-7747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY47175
CA
Other
Enumeration date
09/02/2006
Last updated
02/14/2008
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