MS. Annamma Sumi Mammen
NPI #1407513229 in Tracy, California
Provider Information
- NPI Number
- 1407513229
- Entity Type
- Individual
- Name
- MS. Annamma Sumi Mammen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 29, 2021
- Last Updated
- Nov 29, 2021
Practice Location
- Address
- 3320 N TRACY BLVD
- City
- Tracy
- State
- California
- ZIP Code
- 95376-1796
- Phone
- (209) 836-2316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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