Individual
LISA CONSTANCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10621 CARMENITA RD, SANTA FE SPRINGS, CA 90670-4017
(562) 298-0044
Mailing address
10621 CARMENITA RD, SANTA FE SPRINGS, CA 90670-4017
(562) 298-0044
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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