Individual
MELANIE LAFORTEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2148 ICON WAY STE 100, VACAVILLE, CA 95688-8803
(707) 227-6330
Mailing address
2148 ICON WAY STE 100, VACAVILLE, CA 95688-8803
(707) 227-6330
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
A59010
CA
Other
Enumeration date
02/13/2020
Last updated
02/20/2021
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