Individual
CHERYL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-2360
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58595
CA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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