Vippan Mattu Valid NPI

Individual provider · Pharmacist · Yuba City, CA

NPI

1508311184

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

73796 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2016-08-24

Last updated

2020-02-24