Individual
CHANEL Z TSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 HARRIS ST, EUREKA, CA 95503-4805
(707) 269-0114
Mailing address
506 DE LA FUENTE ST, MONTEREY PARK, CA 91754-2623
(626) 408-4752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
87174
CA
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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