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Individual

ALYSSA ANNE PADLAN DALOGDOG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1016 W SHAW AVE, FRESNO, CA 93711-3701
(559) 229-2361
Mailing address
1016 W SHAW AVE, FRESNO, CA 93711-3701

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
84483
CA

Other

Enumeration date
07/29/2021
Last updated
07/29/2021
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