Individual
ADRIENNE JEONG HATAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 FIESTA PL, FULLERTON, CA 92835-3407
(626) 235-5611
Mailing address
401 FIESTA PL, FULLERTON, CA 92835-3407
(626) 235-5611
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
59772
CA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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