Individual
ANH PHUONG TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8831 VILLA LA JOLLA DR, LA JOLLA, CA 92037-1949
(858) 457-4480
Mailing address
4178 DECORO ST APT 36, SAN DIEGO, CA 92122-1410
(734) 747-2976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83284
CA
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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