Individual
BIANCA KHISHAVEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1663 BRANHAM LN, SAN JOSE, CA 95118-2200
(408) 267-4942
Mailing address
1663 BRANHAM LN, SAN JOSE, CA 95118-2200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79481
CA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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