Raiza Angeline Gandola

NPI #1881192508 in Dublin, Georgia

Provider Information

NPI Number: 1881192508
Entity Type: Individual
Name: Raiza Angeline Gandola
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 28, 2018
Last Updated: Jan 28, 2018

Practice Location

Address: 2000 VETERANS BLVD
City: Dublin
State: Georgia
ZIP Code: 31021-3030
Phone: (478) 296-7608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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