Individual
AMANUEL TESFAMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6811
(530) 621-3447
Mailing address
383 MASSA CT, BRENTWOOD, CA 94513-7120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PD14169
AR
183500000X
Pharmacist
Primary
RPH78270
CA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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