Individual
AYE WIN TIN ICHWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2701 MIDDLEFIELD RD, PALO ALTO, CA 94306-2518
(650) 330-0132
Mailing address
12051 IMPERIAL HWY, NORWALK, CA 90650-3084
(562) 484-9849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74661
CA
Other
Enumeration date
05/11/2017
Last updated
01/08/2020
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