Individual
ALFRED METWASHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18269 COLLIER AVE, LAKE ELSINORE, CA 92530
(760) 670-9463
Mailing address
18269 COLLIER AVE, LAKE ELSINORE, CA 92530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74725
CA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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