Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Mar 2, 2023
License(s)
87676 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 18444 PLUMMER ST | Northridge, CA 91325-2112 | 818-349-6267 |
| MAILING | 1845 N VAN NESS AVE APT 5 | Los Angeles, CA 90028-5600 | 323-437-1256 |
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