JAE BUM CHANG

MODESTO, CA
NPI1366719288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  44601)
Enumeration Date2011-11-21
Last Update Date2011-11-21
Business Address
-- JAE BUM CHANG
1101 MCHENRY AVE.
MODESTO, CA 95350
Phone number: 209-577-8695
Mailing Address
-- JAE BUM CHANG
1101 MCHENRY AVE
MODESTO, CA 95350
Phone number: 209-577-8695