Individual
ELISA CHAVEZ VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 S MADERA AVE, KERMAN, CA 93630-1538
(559) 846-7115
(559) 846-9756
Mailing address
456 S MADERA AVE, KERMAN, CA 93630-1538
(559) 846-7115
(559) 846-9756
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
54249
CA
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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