KELLY D PHAN

SAN JOSE, CA
NPI1306400783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  64703)
Enumeration Date2019-05-01
Last Update Date2019-05-01
Business Address
KELLY D PHAN
2514 BERRYESSA RD
SAN JOSE, CA 95132-2947
Phone number: 408-272-1431
Mailing Address
KELLY D PHAN
1308 ISENGARD CT
SAN JOSE, CA 95121-2525
Phone number:
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