Individual
LISSETTE YAEKO FRIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 FOOTHILL BLVD, LA VERNE, CA 91750-3450
(909) 593-2619
(909) 593-6789
Mailing address
5044 WALNUT AVE, CHINO, CA 91710-2564
(626) 586-9759
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
104604
CA
Other
Enumeration date
06/27/2022
Last updated
07/15/2022
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