Individual
MAYRA ALEXANDRA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
959 CRENSHAW BLVD, LOS ANGELES, CA 90019-1938
(323) 939-7911
Mailing address
959 CRENSHAW BLVD, LOS ANGELES, CA 90019-1938
(323) 939-7911
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
THC125933
CA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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