Individual
BRENDA MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 6TH ST, NORCO, CA 92860-1360
(951) 549-8586
Mailing address
3335 CHARDONEY WAY, JURUPA VALLEY, CA 91752-2857
(951) 515-1730
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
121117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183700000X
PHARMACY
CA
Enumeration date
12/03/2021
Last updated
12/03/2021
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