Individual
VANESSA MARTINEZ TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 W BIRCH ST, CALEXICO, CA 92231-2348
(760) 768-3169
Mailing address
446 CLARKE ST, CALEXICO, CA 92231-2313
(760) 768-4047
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH170818
CA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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