Individual
ANGELA Y CARRILLO SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11673 CHERRY AVE, FONTANA, CA 92337-0141
(909) 357-2031
(909) 357-1620
Mailing address
11673 CHERRY AVE, FONTANA, CA 92337-0141
(909) 357-2031
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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