Individual
AMANDA VANESSA CABRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18993 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2942
(626) 964-6714
(626) 964-0814
Mailing address
18993 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2942
(626) 964-6714
(626) 964-0814
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
129248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750490132
PHARMACY
CA
Enumeration date
06/28/2021
Last updated
06/28/2021
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