Individual
AERIS VERLAINE MICLAT LAUTCHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
84752
CA
Other
Enumeration date
08/10/2021
Last updated
10/14/2022
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