Imelda De Los Santos

NPI #1295341709 in Fortuna, California

Provider Information

NPI Number: 1295341709
Entity Type: Individual
Name: Imelda De Los Santos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 20, 2020
Last Updated: Sep 20, 2020

Practice Location

Address: 2502 SHAY CT # 2502
City: Fortuna
State: California
ZIP Code: 95540-2852
Phone: (661) 742-6829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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