Individual
AILYNNE MAE CARRERA FRUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
8681 BLANCHE AVE, GARDEN GROVE, CA 92841-3215
(714) 600-4880
Mailing address
8681 BLANCHE AVE, GARDEN GROVE, CA 92841-3215
(714) 600-4880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67636
CA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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