Individual
TINA LA D'ULISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3350 LA JOLLA VILLAGE DRIVE, SAN DIEGO, CA 92161
(858) 552-8585
(858) 552-7522
Mailing address
9437 ADOLPHIA STREET, SAN DIEGO, CA 92129
(858) 538-6945
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
52209
CA
Other
Enumeration date
10/03/2006
Last updated
10/15/2009
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