Individual
BIANCA FARIDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
24372 ROCKFIELD BLVD, LAKE FOREST, CA 92630-4742
(949) 830-5090
Mailing address
24372 ROCKFIELD BLVD, LAKE FOREST, CA 92630-4742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79486
CA
Other
Enumeration date
04/18/2019
Last updated
06/11/2019
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