Individual
MINI JOHNSON CHRISTUDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27818 CLINTON KEITH RD, MURRIETA, CA 92562-8554
(951) 704-1124
Mailing address
831 E ORANGEWOOD AVE APT C225, ANAHEIM, CA 92802-4478
(714) 706-2209
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
82388
CA
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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