Individual
MISS SABRINA MARIE PLACENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
450 WHITE SPAR RD, PRESCOTT, AZ 86303-4626
(928) 778-3098
Mailing address
PO BOX 83, PAULDEN, AZ 86334-0083
(928) 830-8693
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7392
AZ
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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