Individual
DR. AILEEN NATI LUDESIRISHOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
15738 WILLOW DR, FONTANA, CA 92337-8960
(951) 315-6045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20264
NV
183500000X
Pharmacist
Primary
81786
CA
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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