Individual
DR. CHRISTIE NADENE FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
30736 BENTON RD, WINCHESTER, CA 92596-8466
(951) 902-9476
Mailing address
22712 WHITE LILY CIR, MORENO VALLEY, CA 92557-6020
(951) 902-9476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86889
CA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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