Individual
CALVIN ORUTSAHAKIJ SONGVEERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3430 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-7180
Mailing address
27317 CHESTERFIELD DR, VALENCIA, CA 91354-2147
(661) 373-5104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
84278
CA
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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