Individual
ALYSSA MAE DOJILLO CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15205 NORMANDY LN, LA MIRADA, CA 90638-4739
(714) 928-7655
Mailing address
15205 NORMANDY LN, LA MIRADA, CA 90638-4739
(714) 928-7655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79174
CA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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