Individual
MICHELLE MILLARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13244 LAMBRUSCO CT, RANCHO CUCAMONGA, CA 91739-9414
(909) 306-4320
Mailing address
13244 LAMBRUSCO CT, RANCHO CUCAMONGA, CA 91739-9414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
38565
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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