Individual
ALYSSA GBEWONYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11606 SEMINOLE CIR, PORTER RANCH, CA 91326-1422
(818) 317-9829
Mailing address
11606 SEMINOLE CIR, PORTER RANCH, CA 91326-1422
(818) 317-9829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86640
CA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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