Individual
DR. CAMTIEN THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16325 VENTURA BLVD, ENCINO, CA 91436-2101
(818) 728-4515
Mailing address
20735 VERCELLI WAY, NORTHRIDGE, CA 91326-4176
(818) 263-4727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52228
CA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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