Individual
DR. AIMEE HERNANDEZ MAIAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15272 SUMMIT AVE, T1958, FONTANA, CA 92336-0231
(909) 646-7194
(909) 689-4196
Mailing address
15272 SUMMIT AVE, T1958, FONTANA, CA 92336-0231
(909) 646-7194
(909) 689-4196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56121
CA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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