JACKIE THANH BANG TRAN

FOUNTAIN VALLEY, CA
NPI1316253347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  57825)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
-- JACKIE THANH BANG TRAN
18395 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Phone number: 714-965-1973
Mailing Address
-- JACKIE THANH BANG TRAN
18395 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708-6705
Phone number: 714-965-1973