Michelle DO
Pharmacist in Brea, CA. Individual provider (NPI-1).
NPI number1376830406
StatusActive
Last updated in NPPESJul 10, 2011
Details
- NPI
- 1376830406
- Entity type
- Individual (NPI-1)
- Name
- Michelle DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2011
- Last updated
- Jul 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 61890 | CA | Yes |
Practice location
855 E Birch StT2482
Brea, CA 92821-5769
Phone 714-989-5014
Mailing address
855 E Birch StT2482
Brea, CA 92821-5769
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