SASIPAN JETAWATANA

NORTHRIDGE, CA
NPI1053763144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  73148)
Enumeration Date2016-07-12
Last Update Date2022-04-28
Business Address
SASIPAN JETAWATANA
18350 ROSCOE BLVD
NORTHRIDGE, CA 91325-4109
Phone number: 818-688-5772
Mailing Address
SASIPAN JETAWATANA
18350 ROSCOE BLVD STE 102
NORTHRIDGE, CA 91325-4193
Phone number: 818-885-7722
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