Individual
ALYSSA TATUM WONG JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-1000
Mailing address
26547 DEEPBROOK DR, RANCHO PALOS VERDES, CA 90275-2468
(310) 750-5203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72793
CA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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