Individual
REYVIN MACALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 WOODSIDE PLZ, REDWOOD CITY, CA 94061-3259
(650) 368-7008
Mailing address
343 LINCOLN AVE, ALAMEDA, CA 94501-3218
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
186663
CA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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