RUSSELL PIAZZA

SAN LUIS OBISPO, CA
NPI1508306010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835G0303X Pharmacist, Geriatric
(Licence: CA  26644)
Enumeration Date2017-03-02
Last Update Date2017-03-02
Business Address
-- RUSSELL PIAZZA
873 RICARDO COURT
SAN LUIS OBISPO, CA 93401
Phone number: 805-784-0515
Mailing Address
-- RUSSELL PIAZZA
873 RICARDO CT
SAN LUIS OBISPO, CA 93401-7174
Phone number: 805-784-0515
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