Individual
LUCILLE MARY SUFFERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S, CPHT, CPT1
Contact information
Practice address
38256 MEMBERS CLUB DR, MURRIETA, CA 92563-5859
(714) 420-4326
Mailing address
38256 MEMBERS CLUB DR, MURRIETA, CA 92563-5859
(714) 420-4326
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH16544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
636053
NATIONAL CENTER FOR COMPETENCY TESTING
CA
01
—
CPT33756
CERTIFIED PHLEBOTOMIST DEPARTMENT OF PUBLIC HEALTH
CA
01
—
TCH16544
PHARMACY TECH LICENSE
CA
Enumeration date
01/23/2007
Last updated
06/17/2011
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