Individual
ANJO DIANSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15222 ARDATH AVE, GARDENA, CA 90249-4028
(424) 385-1369
Mailing address
15222 ARDATH AVE, GARDENA, CA 90249-4028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85548
CA
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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