JIE GIOK RAHARDJA

SANTA ROSA, CA
NPI1013296656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  62966)
Enumeration Date2011-08-14
Last Update Date2011-08-14
Business Address
-- JIE GIOK RAHARDJA PharmD
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-393-4652
Mailing Address
-- JIE GIOK RAHARDJA PharmD
121 VERDE CT
PETALUMA, CA 94954-1545
Phone number: 707-769-9361
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