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Individual

MINA NASR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5660 SONOMA DR, PLEASANTON, CA 94566-7721
(925) 393-8137
Mailing address
5660 SONOMA DR, PLEASANTON, CA 94566-7721
(925) 393-8137

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
78315
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99108504
BOARD CERTIFIED GERIATRIC PHARMACIST
Enumeration date
04/29/2022
Last updated
04/29/2022
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