Individual
CAROLYN MAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
949 KENDALL DR, SAN BERNARDINO, CA 92407-5801
(760) 780-5768
(909) 881-0581
Mailing address
PO BOX 402478, HESPERIA, CA 92340-2478
(760) 780-5768
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
21952
CA
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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