Individual
MARY QING MIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(626) 246-5769
Mailing address
2194 SIERRA RD, SAN JOSE, CA 95131-2677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
65845
CA
1835X0200X
Oncology Pharmacist
Primary
65845
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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