DONNELL JON LAZO LU

BRAWLEY, CA
NPI1629482401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  65117)
Enumeration Date2014-06-19
Last Update Date2014-06-19
Business Address
-- DONNELL JON LAZO LU
405 W MAIN ST
BRAWLEY, CA 92227-2244
Phone number: 760-344-5732
Mailing Address
-- DONNELL JON LAZO LU
405 W MAIN ST
BRAWLEY, CA 92227-2244
Phone number: 760-344-5732