Individual
THI B HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14351 FLOWER ST, GARDEN GROVE, CA 92843-4613
(714) 383-7213
Mailing address
14351 FLOWER ST, GARDEN GROVE, CA 92843-4613
(714) 383-7213
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
159424
CA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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