Individual
AFROUZ NIKMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 E. HOSPITALITY DR., SAN BERNARDINO, CA 92408
(909) 478-5662
(909) 478-0294
Mailing address
1099 E. HOSPITALITY DR., SAN BERNARDINO, CA 92408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48864
CA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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