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Individual

DR. XIAODONG FENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, PHD

Contact information

Practice address
10811 INTERNATIONAL DR, RANCHO CORDOVA, CA 95670-7368
(916) 631-8108
(916) 631-8127
Mailing address
103 IRON MOUNTAIN CT, FOLSOM, CA 95630-7100
(916) 473-2813
(916) 631-8127

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
60040
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60040
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
12/07/2009
Last updated
12/07/2009
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