Individual
SABRIEL AZUL DEL SOCORRO SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1532 138TH AVE, SAN LEANDRO, CA 94578-1608
(510) 693-8958
Mailing address
1532 138TH AVE, SAN LEANDRO, CA 94578-1608
(510) 693-8958
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
C7C2S7X6
CA
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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