Individual
MRS. ANNE ROSE CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 W 25TH ST, SAN PEDRO, CA 90732-4418
(310) 832-0319
(310) 832-1142
Mailing address
1440 W 25TH ST, SAN PEDRO, CA 90732-4418
(310) 832-0319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61050
CA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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