Individual
ALYSA KUBOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-9081
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77382
CA
Other
Enumeration date
09/21/2017
Last updated
01/08/2025
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