Individual
MARICELLA BUITRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8711
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
137203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760549166
—
CA
Enumeration date
06/12/2017
Last updated
06/12/2017
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