MARISSA PHAN

SAN LEANDRO, CA
NPI1902227481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  66269)
Enumeration Date2013-12-30
Last Update Date2013-12-30
Business Address
-- MARISSA PHAN
15555 E. 14TH STREET #400
SAN LEANDRO, CA 94578
Phone number: 510-276-2699
Mailing Address
-- MARISSA PHAN
4809 CORNFLOWER STREET
SAN RAMON, CA 94582
Phone number: 214-907-1633
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