Individual
MAYRA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13720 BEAR VALLEY RD, VICTORVILLE, CA 92392-8713
(760) 955-2070
Mailing address
15425 WASHOAN RD, APPLE VALLEY, CA 92307-3261
(323) 812-2554
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
35703
CA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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