Individual
MANI TAVAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30222 CROWN VALLEY PKWY, LAGUNA NIGUEL, CA 92677-2332
(949) 495-5823
Mailing address
30222 CROWN VALLEY PKWY, LAGUNA NIGUEL, CA 92677-2332
(949) 495-5823
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH186039
CA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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