Individual
LEWY CHANCE CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16479 MARK RD, MADERA, CA 93636-8206
(559) 696-8033
Mailing address
16479 MARK RD, MADERA, CA 93636-8206
(559) 696-8033
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
181893
CA
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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