Individual
CAMLAI LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5015 W EDINGER AVE STE B, SANTA ANA, CA 92704-1968
(707) 980-9518
Mailing address
10938 LOTUS DR, GARDEN GROVE, CA 92843-4989
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
36863
CA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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