CAVA GENEVIEVE HADIKUSUMO

FONTANA, CA
NPI1437222866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  RPH 57282)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- CAVA GENEVIEVE HADIKUSUMO Pharm.D.
9310 SIERRA AVE
FONTANA, CA 92335-5711
Phone number: 909-427-3838
Mailing Address
-- CAVA GENEVIEVE HADIKUSUMO Pharm.D.
9310 SIERRA AVE
FONTANA, CA 92335-5711
Phone number: