Individual
CANDY LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 HARBOR BLVD, COSTA MESA, CA 92626-2562
(714) 979-6743
Mailing address
14672 COMET ST, IRVINE, CA 92604-2467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH83034
CA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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