Individual
AMANDA NOOROLLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
16100 VENTURA BLVD, ENCINO, CA 91436-2502
(818) 788-6951
Mailing address
16100 VENTURA BLVD, ENCINO, CA 91436-2502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75462
CA
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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