Individual
NOEMI MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 W RAMSEY ST, BANNING, CA 92220-4478
(951) 849-8614
(951) 849-2057
Mailing address
1069 LIVERPOOL LN, SAN JACINTO, CA 92583-2668
(951) 216-1918
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
CA
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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