Jade Kalelei Wilia
NPI #1659930089 in Los Angeles, California
Provider Information
- NPI Number
- 1659930089
- Entity Type
- Individual
- Name
- Jade Kalelei Wilia
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 10, 2019
- Last Updated
- Jun 10, 2019
Practice Location
- Address
- 1411 N MANSFIELD AVE APT 9
- City
- Los Angeles
- State
- California
- ZIP Code
- 90028-7676
- Phone
- (818) 309-6011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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