Individual
AVANI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7911 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-3066
(909) 581-1966
Mailing address
7911 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-3066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
59438
CA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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