Individual
MISS CHERYL ANN ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 S GRAND AVE, GLENDORA, CA 91740-4107
(626) 857-9439
Mailing address
655 S.GRAND AVENUE, GLENDORA, CA 91740
(626) 857-9439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47798
CA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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