Individual
ADRIANNA IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18615 BURBANK BLVD APT 116, TARZANA, CA 91356-2652
(213) 269-0111
Mailing address
18615 BURBANK BLVD APT 116, TARZANA, CA 91356-2652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75979
CA
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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