Individual
AILEEN DOCENA MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4900 ELK GROVE BLVD, ELK GROVE, CA 95758-4188
(916) 683-0720
(916) 683-0763
Mailing address
4900 ELK GROVE BLVD, ELK GROVE, CA 95758-4188
(916) 683-0720
(916) 683-0763
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58768
CA
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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