Individual
MIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 SLAUSON AVE, MAYWOOD, CA 90270-2932
(323) 771-9422
Mailing address
PO BOX 392, PARAMOUNT, CA 90723-0392
(424) 251-6158
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
68757
CA
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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