Individual
THU LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6555 COYLE AVE STE 110, CARMICHAEL, CA 95608-0365
(916) 536-3587
Mailing address
6555 COYLE AVE STE 110, CARMICHAEL, CA 95608-0365
(916) 536-3587
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
70006
CA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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