Individual
MITSUKO DAHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
828 MARIA AVE, SPRING VALLEY, CA 91977-5114
(619) 741-8580
Mailing address
828 MARIA AVE, SPRING VALLEY, CA 91977-5114
(619) 741-8580
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH57983
CA
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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