Individual
BJORN DANIEL MANANSALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S MAIN ST, ORANGE, CA 92868-2842
(714) 289-3650
Mailing address
111 S MAIN ST, ORANGE, CA 92868-2842
(714) 289-3650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50047
CA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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