Individual
ALYSON KIYOMI MIZUNO-KUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
12254 BELLFLOWER BLVD, DOWNEY, CA 90242-2804
(562) 319-5747
Mailing address
1649 TYLER DR, FULLERTON, CA 92835-2146
(714) 329-4794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041965
CA
183500000X
Pharmacist
09851
NV
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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