Individual
SAMSON ASHUR SANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 BELLA DONACI, LAKE ELSINORE, CA 92532-0114
(702) 722-8772
Mailing address
3 BELLA DONACI, LAKE ELSINORE, CA 92532-0114
(702) 722-8772
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH198364
CA
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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