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Individual

DR. STEFAN GORHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
10889 WELLWORTH AVE, LOS ANGELES, CA 90024-4918
(310) 474-2152
Mailing address
10889 WELLWORTH AVE, LOS ANGELES, CA 90024-4918
(310) 474-2152

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
82818
CA

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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