Individual
ANTHONY JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1799 MARLOW RD, SANTA ROSA, CA 95401-4474
(707) 528-3730
Mailing address
5761 MARSH HAWK DR, SANTA ROSA, CA 95409-4381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
90391
CA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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