Individual
AMI CHUDAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 TOWN CENTER PLZ, WEST SACRAMENTO, CA 95691-4957
(916) 384-0978
Mailing address
891 CHANDELIER CT, SAN MARCOS, CA 92078-2811
(626) 271-2350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70877
CA
Other
Enumeration date
09/16/2014
Last updated
06/09/2021
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