Individual
ANNA JIALI PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4500
Mailing address
2350 E ALLUVIAL AVE APT 122, FRESNO, CA 93720-0481
(530) 848-8369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42678
CA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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