Individual
NOUR ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MUIR RD, MARTINEZ, CA 94553-4672
(925) 372-1000
Mailing address
3412 ROYAL MEADOW LN, SAN JOSE, CA 95135-1641
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
40553
CA
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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