SearchCalifornia183500000X

Evelyn Sugihto

NPI 1922375245 · on the registry since 2011 · sole proprietor

Practice

Address
1555 40th St
Target Pharmacy Store Number T-2767
Oakland, CA 94608
Phone
(510) 285-0560
Fax
(510) 285-0570

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California