Individual
ANDREA D NISHIMOTO-MACEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8243 WESTMORE RD, SAN DIEGO, CA 92126-2218
(417) 818-3883
Mailing address
8243 WESTMORE RD, SAN DIEGO, CA 92126-2218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9072263-1701
UT
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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