Individual
NINA BAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHTC
Contact information
Practice address
405 W IMPERIAL HWY, BREA, CA 92821-4818
(714) 529-2176
(714) 529-8834
Mailing address
1442 E THELBORN ST, WEST COVINA, CA 91791-1210
(626) 377-1655
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
90817
CA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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