Individual
CHERYL DIANA IMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5532
(559) 353-5515
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5532
(559) 353-5515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28814
CA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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