Individual
MARIANA LUCENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE # HB, CLEVELAND, OH 44195-0001
(216) 314-7193
Mailing address
9500 EUCLID AVE # HB-105, CLEVELAND, OH 44195-0001
(216) 314-7193
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
03236742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03236742
PHARMACIST LICENSE
OH
01
—
25013
PHARMACIST LICENSE
NC
01
—
PS54871
PHARMACIST LICENSE
FL
Enumeration date
04/12/2019
Last updated
04/12/2019
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