Individual
MICHELLE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43839 15TH ST W, LANCASTER, CA 93534-4756
(661) 945-5984
Mailing address
13261 DROXFORD ST, CERRITOS, CA 90703-6257
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
69713
CA
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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