Individual
DR. MOE METWALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
(707) 765-3900
Mailing address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
(707) 765-3900
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
69720
CA
Other
Enumeration date
12/16/2012
Last updated
05/16/2016
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