Individual
MRS. ANNA LISSA LIM ANDAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1970 W GRANT LINE RD, TRACY, CA 95376-8812
(209) 830-7388
(209) 830-8405
Mailing address
7350 W RENA DR, TRACY, CA 95304-8180
(209) 762-2865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 63541
CA
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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