Individual
MARISSA DARLENE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
11201 BENTON ST BLDG 20, LOMA LINDA, CA 92357-1000
(909) 452-5624
Mailing address
915 CHERRY AVE APT 2C, BEAUMONT, CA 92223-2437
(909) 452-5624
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
112351
CA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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