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IMELDA DE LOS SANTOS

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1295341709

Individual Registrant:
 IMELDA  DE LOS SANTOS 
Gender: F
Sole Proprietor

Location and contact information for practice:
2502 SHAY CT # 2502  FORTUNA, CA 95540-2852 US
Tel: 661-742-6829  Fax: --

Contact information for business:
2502 SHAY CT # 2502  FORTUNA, CA 95540-2852 US
Tel: 661-742-6829  Fax: --

Registration Information:
NPI: 1295341709
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA48920

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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