Individual
MICHELLE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-2000
Mailing address
13938 SPRING ST, FONTANA, CA 92335-0221
(626) 506-0950
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
75293
CA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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