Fontayne Tawatari

NPI #1831616432 in Dana Point, California

Provider Information

NPI Number
1831616432
Entity Type
Individual
Name
Fontayne Tawatari
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Aug 24, 2017
Last Updated
Aug 24, 2017

Practice Location

Address
32575 GOLDEN LANTERN ST
ZIP Code
92629-3248
Phone
(949) 248-4803

Specialties & Taxonomy Codes

Specialty
Pharmacist

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