Individual
VANASIS SHABANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM TECH
Contact information
Practice address
7802 FOOTHILL BLVD STE G, SUNLAND, CA 91040-2993
(818) 353-6666
Mailing address
1766 WABASSO WAY, GLENDALE, CA 91208-2541
(747) 255-8489
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
172222
CA
Other
Enumeration date
04/22/2021
Last updated
04/27/2021
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