Individual
MARISA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47985 MONROE ST, INDIO, CA 92201-6752
(760) 347-3646
(760) 342-0781
Mailing address
47985 MONROE ST, INDIO, CA 92201-6752
(760) 347-3646
(760) 342-0781
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
65243
CA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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