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Individual

ANSAM ASMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10560 4S COMMONS DR, SAN DIEGO, CA 92127-3511
(858) 673-3460
Mailing address
1935 TOWNSEND PL, EL CAJON, CA 92019-3825
(619) 592-2032

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
59210
CA

Other

Enumeration date
04/08/2021
Last updated
04/08/2021
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