Individual
BANAFSHEH ASADI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 AVONDALE DR, ROSEVILLE, CA 95747-8389
(408) 469-2568
Mailing address
1608 AVONDALE DR, ROSEVILLE, CA 95747-8389
(408) 469-2568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32884
CA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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