Individual
LAURA MARICELA HUMARAN RAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16910 FOOTHILL BLVD, FONTANA, CA 92335-3502
(909) 350-0493
(909) 350-2025
Mailing address
16910 FOOTHILL BLVD, FONTANA, CA 92335-3502
(909) 350-0493
(909) 350-2025
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
177936
CA
Other
Enumeration date
10/31/2021
Last updated
10/31/2021
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