Individual
JANET SHI JUTIYASANTAYANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
600 CITY PKWY W STE 800, ORANGE, CA 92868-2948
(714) 796-5953
Mailing address
600 CITY PKWY W STE 800, ORANGE, CA 92868-2948
(714) 796-5953
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
66044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66044
PHARMACIST LICENSE NUMBER
CA
Enumeration date
08/24/2017
Last updated
08/24/2017
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