Individual
CHETTRA SO PRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6477 ALMADEN EXPY, SAN JOSE, CA 95120-2902
(408) 550-5547
Mailing address
6477 ALMADEN EXPY, SAN JOSE, CA 95120-2902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77373
CA
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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