Individual
BRIAN BOQUIREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 AVENIDA TALEGA, SAN CLEMENTE, CA 92673-6523
(949) 940-0167
(949) 940-1051
Mailing address
811 AVENIDA TALEGA, SAN CLEMENTE, CA 92673-6523
(949) 940-0167
(949) 940-1051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60199
CA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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