Individual
BRENNA DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1861 S SAN JACINTO AVE, SAN JACINTO, CA 92583-5605
(951) 487-8409
Mailing address
44972 DOLCE ST, TEMECULA, CA 92592-5530
(951) 966-0241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75867
CA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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