Individual
MATTHEW TIMOTHY ANGQUICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9532 WINTER GARDENS BLVD, LAKESIDE, CA 92040-4032
(619) 390-7342
Mailing address
13217 AURORA DR SPC 46, EL CAJON, CA 92021-1813
(619) 633-5900
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
178781
CA
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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