Individual
CAROL JEAN DE DIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1500 SAN MIGUEL CT, MIDLAND, TX 79705-2225
(661) 204-7305
Mailing address
1500 SAN MIGUEL CT, MIDLAND, TX 79705-2225
(661) 204-7305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
43891
CA
183500000X
Pharmacist
Primary
8405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8405
—
OR
Enumeration date
07/10/2019
Last updated
07/10/2019
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