Nellie Tom

NPI #1205120300 in Colma, California

Provider Information

NPI Number: 1205120300
Entity Type: Individual
Name: Nellie Tom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 6, 2011
Last Updated: Jun 6, 2011

Practice Location

Address: 5001 JUNIPERO SERRA BLVD
Address 2: T-0320
City: Colma
State: California
ZIP Code: 94014-3217
Phone: (415) 570-0011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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