Ignacia Suwandi

NPI #1184974024 in Chino, California

Provider Information

NPI Number: 1184974024
Entity Type: Individual
Name: Ignacia Suwandi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 19, 2012
Last Updated: Sep 19, 2012

Practice Location

Address: 3944 GRAND AVE
Address 2: T0912
City: Chino
State: California
ZIP Code: 91710-5422
Phone: (909) 465-5804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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