Individual
ALICE JITTKAROONRUS KENMEPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
888 SOUTH HILL ROAD, VENTURA, CA 93003
Mailing address
8167 SHADYGLADE AVE, NORTH HOLLYWOOD, CA 91605-1334
(818) 332-6471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
87789
CA
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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