Individual
MR. ANDREW BEN DIESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3902 WASHINGTON BLVD, FREMONT, CA 94538-4954
(510) 490-6695
Mailing address
3902 WASHINGTON BLVD, FREMONT, CA 94538-4954
(510) 490-6695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46227
CA
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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