Individual
ASMA ABID RAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5351 TENDERFOOT DR, FONTANA, CA 92336-1134
(909) 437-2319
Mailing address
5351 TENDERFOOT DR, FONTANA, CA 92336-1134
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH154154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TCH154154
BOARD OF PHARMACY
CA
Enumeration date
07/20/2020
Last updated
07/20/2020
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