Individual
EBENEZER LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6748 MISSION ST, DALY CITY, CA 94014-2031
(415) 609-0763
Mailing address
6748 MISSION ST, DALY CITY, CA 94014-2031
(415) 609-0763
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
72298
CA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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