Individual
MANYA RADFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCGP
Contact information
Practice address
14598 7TH ST STE B, VICTORVILLE, CA 92395-4214
(909) 825-7084
Mailing address
451 SONORA CIR, REDLANDS, CA 92373-8509
(562) 217-1587
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
83569
CA
Other
Enumeration date
12/26/2021
Last updated
07/25/2022
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