Individual
AMY JIE SHAN KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4070 S EL CAMINO REAL, SAN MATEO, CA 94403-4537
(650) 212-4600
(650) 212-4606
Mailing address
4070 S EL CAMINO REAL, SAN MATEO, CA 94403-4537
(650) 212-4600
(650) 212-4606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51676
CA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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