Individual
GWYNETH LUCIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
4966 LE CHALET BLVD, BOYNTON BEACH, FL 33436-1406
(561) 369-3892
Mailing address
4205 TURNBERRY CIR APT 602, LAKE WORTH, FL 33467-4200
(561) 506-0171
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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