Individual
MIRIAM RAQUELY SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1077 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501-6103
(770) 536-3329
(770) 536-0462
Mailing address
2670 LENOX DR, GAINESVILLE, GA 30507-1709
(770) 530-5459
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
330101051154866
GA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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