Individual
BLANCA NOEMI SIFUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3141 E COAST HWY, CORONA DEL MAR, CA 92625-2330
(949) 675-0414
Mailing address
19251 NEWLAND ST, HUNTINGTON BEACH, CA 92646-2142
(714) 716-9676
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
185301
CA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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