Tatiana Jenistova Valid NPI
Individual provider · Pharmacist · Rancho Mirage, CA
- NPI
- 1346849239
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 82106 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
Practice location
42520 Bob Hope Dr
Rancho Mirage, CA 92270-4471
(760) 568-5651