Individual
NGAN NGOCKIM DAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5877 CERVANTES AVE, SAN DIEGO, CA 92114-6538
(714) 383-5808
Mailing address
5877 CERVANTES AVE, SAN DIEGO, CA 92114-6538
(714) 383-5808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
80127
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
80127
CA
Other
Enumeration date
02/07/2019
Last updated
05/16/2019
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