Individual
ASHLEY ANN FUKUMAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 MENDOCINO AVE, SANTA ROSA, CA 95401-3667
(707) 542-4182
Mailing address
2075 MENDOCINO AVE, SANTA ROSA, CA 95401-3667
(707) 542-4182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66337
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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