Individual
IVY VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 E ASHLAN AVE, FRESNO, CA 93726-3020
(800) 499-9079
Mailing address
4910 E ASHLAN AVE, FRESNO, CA 93726-3020
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
52784
CA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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