Most Relevant Information
Provider Data
| NPI Number: | 1003408550 |
| Provider Name: | MARIANNE LENA MOUSSA PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 82211 |
Most Important Dates
| Enumeration Date: | 02/05/2021 |
| Last Updated: | 02/05/2021 |
Provider Practice Location
5460 CONCORD BLVD APT B5
CONCORD
CA
945212412
Practice Location Phone/Fax
| Phone: | 9258764145 |
| Fax: |
Provider Mailing Location
5460 CONCORD BLVD APT B5
CONCORD
CA
945212412
Provider Mailing Phone/Fax
| Phone: | 9258764145 |
| Fax: |