ALISA KUSOLVISITKUL

LOS ANGELES, CA
NPI1912288945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  PHA66994)
Additional Taxonomies183500000X Pharmacist
(Licence: IL  051.293807)
Enumeration Date2011-09-04
Last Update Date2022-12-26
Business Address
ALISA KUSOLVISITKUL PharmD
1902 MARENGO ST STE 105
LOS ANGELES, CA 90033-1378
Phone number: 323-405-0417
Mailing Address
ALISA KUSOLVISITKUL PharmD
1902 MARENGO ST STE 105
LOS ANGELES, CA 90033-1378
Phone number: 323-405-0417