Individual
DENISE ALICE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM TECH
Contact information
Practice address
24330 EL TORO RD, LAGUNA WOODS, CA 92637-2775
(949) 830-0391
Mailing address
911 SANTORINI, IRVINE, CA 92606-0843
(949) 630-6118
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
118099
CA
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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