Individual
AILEEN R BULATAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 BERRYESSA RD, SAN JOSE, CA 95133-1014
(669) 265-6391
Mailing address
1827 E 214TH ST, CARSON, CA 90745-1808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85097
CA
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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