Individual
MR. BAHAA RAMSIS ANIS RIZKALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80925 US HIGHWAY 111, INDIO, CA 92201-6524
(760) 347-8274
Mailing address
80925 US HIGHWAY 111, INDIO, CA 92201
(760) 347-8274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58290
CA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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