Individual
JANE HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
16322 STONE GROVE LN, CERRITOS, CA 90703-1947
(714) 732-0408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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