Individual
JUSTIN BRINGAS SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6455 PACIFIC AVE, STOCKTON, CA 95207-3715
(209) 688-1563
Mailing address
2339 TILDEN PARK ST, STOCKTON, CA 95206-4733
(209) 688-1563
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH195058
CA
Other
Enumeration date
04/16/2024
Last updated
05/14/2024
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