Individual
DR. ANNE VINHAN BOULOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
695 W HERNDON AVE, T-2018, CLOVIS, CA 93612-0104
(559) 321-0010
(559) 326-1351
Mailing address
695 W HERNDON AVE, T-2018, CLOVIS, CA 93612-0104
(559) 321-0010
(559) 326-1351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55362
CA
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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