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Individual

AMANDA MARYANN ALYASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
875 EL CAJON BLVD, EL CAJON, CA 92020-5714
(619) 662-4100
Mailing address
1641 DONCAROL AVE, EL CAJON, CA 92019-2580
(619) 431-9333

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
84121
CA

Other

Enumeration date
02/28/2023
Last updated
02/28/2023
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