Individual
AMANY MOFIED KIROLLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8760 19TH ST, ALTA LOMA, CA 91701-4608
(909) 989-3235
Mailing address
610 E UNION ST, APT 365, PASADENA, CA 91101-2092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55708
CA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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