Individual
ANA MAY TAN TANNOUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, APH
Contact information
Practice address
16433 CEDAR VIEW LN, FONTANA, CA 92336-4740
(818) 425-4358
Mailing address
16433 CEDAR VIEW LN, FONTANA, CA 92336-4740
(818) 425-4358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80975
CA
Other
Enumeration date
12/05/2019
Last updated
10/03/2023
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