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Individual

MARISSA ANGELICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(858) 657-5891
Mailing address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
91100
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F8005409
DRIVERS LICENSE
CA
Enumeration date
08/28/2021
Last updated
08/22/2025
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