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Individual

ANNIE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12031 BROOKHURST ST, GARDEN GROVE, CA 92840-2814
(714) 530-5280
Mailing address
7802 SAMURA PL APT 13, GARDEN GROVE, CA 92841-4157
(714) 614-7800

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
86833
CA

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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