Individual
WAED MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8694 LAKE MURRAY BLVD, SAN DIEGO, CA 92119-2828
(619) 460-5978
Mailing address
8694 LAKE MURRAY BLVD, SAN DIEGO, CA 92119-2828
(619) 460-5978
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
181885
CA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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