Individual
MARISOL BAHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 DOWLEN RD, BEAUMONT, TX 77706-7291
(409) 860-4212
Mailing address
3025 DOWLEN RD, BEAUMONT, TX 77706-7291
(409) 860-4212
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
09/13/2022
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