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Individual

MRS. DHINU ELSA JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8510 BALBOA BLVD STE 150, NORTHRIDGE, CA 91325-5810
(818) 637-2000
Mailing address
20300 VANOWEN ST APT 34, WINNETKA, CA 91306-4357
(818) 456-7019

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
56010
CA

Other

Enumeration date
11/05/2012
Last updated
11/05/2012
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