FETTY KUSWANTO

ORANGE, CA
NPI1134448319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  RPH 31587)
Enumeration Date2010-05-26
Last Update Date2010-05-26
Business Address
FETTY KUSWANTO PHARM.D
1825 E CHAPMAN AVE
ORANGE, CA 92867-7774
Phone number: 714-538-3382
Mailing Address
FETTY KUSWANTO PHARM.D
1825 E CHAPMAN AVE
ORANGE, CA 92867-7774
Phone number: 714-538-3382
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