Individual
IN JAE YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14555 VALLEY CENTER DR, VICTORVILLE, CA 92395-4216
(760) 524-9904
Mailing address
14555 VALLEY CENTER DR, VICTORVILLE, CA 92395-4216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
81279
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
81279
CA
Other
Enumeration date
02/17/2020
Last updated
10/13/2022
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