Individual
ELARY WANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
74800 SHERYL AVE APT 33, PALM DESERT, CA 92260-2000
(951) 488-2181
Mailing address
74800 SHERYL AVE APT 33, PALM DESERT, CA 92260-2000
(951) 488-2181
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
89570
CA
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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