Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Dec 10, 2025
License(s)
89216 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2265 S BEVERLY GLEN BLVD APT 501 | Los Angeles, CA 90064-2455 | |
| LOCATION | 2265 S BEVERLY GLEN BLVD APT 501 | Los Angeles, CA 90064-2455 | 424-402-7432 |
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