Individual
SANDRA TERESEA YNIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 BIRCH CT, LAS CRUCES, NM 88001-2437
(562) 417-8778
Mailing address
1625 BIRCH CT, LAS CRUCES, NM 88001-2437
(562) 417-8778
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67043583A
IN
183700000X
Pharmacy Technician
PT00016739
NM
183700000X
Pharmacy Technician
TCH21463
CA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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