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Individual

NHAK DEVEAN VANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1186 CALIMESA BLVD, CALIMESA, CA 92320-1509
(909) 795-1147
Mailing address
1186 CALIMESA BLVD, CALIMESA, CA 92320-1509
(909) 795-1147

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
57857
CA

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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