Individual
ANDREA AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8044 LIMONITE AVE, RIVERSIDE, CA 92509-6107
(951) 685-0139
Mailing address
10533 ROXBURY AVE, BLOOMINGTON, CA 92316-2651
(909) 520-4785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
89066
CA
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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