Individual
AN CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7462 N FRESNO ST, FRESNO, CA 93720-2404
(559) 753-8180
Mailing address
1410 RANGE AVE APT 306, SANTA ROSA, CA 95401-8905
(714) 274-5188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85647
CA
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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