Individual
MARICELA MARIN-AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2509 N MAIN ST, BELTON, TX 76513-1551
(254) 939-0843
Mailing address
2509 N MAIN ST, BELTON, TX 76513-1551
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
186275
TX
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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