Individual
JENNA MAE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 ALAMO ST, SIMI VALLEY, CA 93063-1733
(805) 522-3120
(805) 522-4074
Mailing address
4440 ALAMO ST, SIMI VALLEY, CA 93063-1733
(805) 522-3120
(805) 522-4074
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH76132
CA
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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