Michelle Widjaja
Michelle Widjaja is a Pharmacist in San Diego, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
575 Saturn BlvdSan Diego, CA 92154-4731
Phone: (619) 205-6147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 77111 (CA) |
|---|
Record details
| NPI number | 1265921472 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 2, 2018 |
| Last updated in NPPES | May 2, 2018 |
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