Individual
THAO MOKULEHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-3223
Mailing address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
62623
CA
1835P2201X
Ambulatory Care Pharmacist
Primary
62623
CA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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