Individual
LETICIA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1645 E TULARE AVE, TULARE, CA 93274-3155
(559) 688-5839
(559) 688-2470
Mailing address
832 E LYNDALE DR, TULARE, CA 93274-2932
(559) 310-2027
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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