Individual
YESHAREG EABISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
9864 NATIONAL BLVD, LOS ANGELES, CA 90034-2713
(310) 836-1414
Mailing address
3415 JASMINE AVE APT 1, LOS ANGELES, CA 90034-3853
(310) 569-1273
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
12372054
CA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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