Fernando Jusi Siazon Valid NPI
Individual provider · Pharmacist · Barstow, CA
- NPI
- 1952906356
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 83496 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-12-02
- Last updated
- 2020-12-02
Practice location
301 Montara Rd
Barstow, CA 92311-5708
(760) 252-5000