Individual
AYAH FAYEZ BANY-MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6405 MIRA MESA BLVD STE 210, SAN DIEGO, CA 92121-4146
(866) 701-6565
Mailing address
17397 SANTA SUZANNE ST, FOUNTAIN VALLEY, CA 92708-3301
(714) 417-8937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40310
CA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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