Individual
ALLEN RANGSISOURIGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 ROBINSON AVE, SAN DIEGO, CA 92103-4209
(619) 291-3705
Mailing address
819 S 44TH ST, SAN DIEGO, CA 92113-2904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70286
CA
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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