Individual
RENZIO MENICO BANTAYAN APOSTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5533
Mailing address
2831 N HANALEI AVE, FRESNO, CA 93737-0020
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
82776
CA
Other
Enumeration date
08/22/2020
Last updated
09/16/2020
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