MAI PHAM BALTAZAR

ROSEVILLE, CA
NPI1508321829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  75004)
Enumeration Date2019-02-01
Last Update Date2019-02-01
Business Address
MAI PHAM BALTAZAR
9280 SIERRA COLLEGE BLVD
ROSEVILLE, CA 95661-5919
Phone number: 916-772-5313
Mailing Address
MAI PHAM BALTAZAR
309 CREAMERY LN
SACRAMENTO, CA 95814-0982
Phone number: 510-410-9695