Individual
TAMMY VIGNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 CHERRY AVE, LONG BEACH, CA 90802-3930
(562) 951-1360
Mailing address
211 CHERRY AVE, LONG BEACH, CA 90802-3930
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
9003
CA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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