Individual
LYNN ADELE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 NIAGARA AVE, SAN DIEGO, CA 92107-3115
(619) 222-7503
(619) 222-4926
Mailing address
1615 HOTEL CIR S UNIT D106, SAN DIEGO, CA 92108-3305
(619) 300-2564
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH169394
CA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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