Individual
MARY GRACE P TRIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
31485 MANDY CT, LAKE ELSINORE, CA 92530-5124
(951) 459-9017
(951) 245-8862
Mailing address
31485 MANDY CT, LAKE ELSINORE, CA 92530-5124
(951) 459-9017
(951) 245-8862
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6048231740
CA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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