Phan, Marissa

Phan, Marissa is an sole proprietor health care provider with primary practice located at 15555 E. 14Th Street #400 , San Leandro CA 94578. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Phan, Marissa can be contacted via phone (510) 276-2699.

Contact Information

Primary practice address
15555 E. 14Th Street #400 San Leandro CA 94578
Phone: (510) 276-2699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 66269 California

Profile Details

NPI number 1902227481
LBN Legal business name Phan, Marissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2013
Last updated Dec 30th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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