THEVI PHANTHALANGSY

MODESTO, CA
NPI1942619820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  68229)
Enumeration Date2014-08-05
Last Update Date2014-08-05
Business Address
THEVI PHANTHALANGSY
1421 COFFEE ROAD
MODESTO, CA 95307
Phone number: 209-222-5616
Mailing Address
THEVI PHANTHALANGSY
1421 COFFEE ROAD
MODESTO, CA 95307
Phone number: 209-222-5616
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