Individual
MAHELET LEGESSE ELLIOSN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 E AVENUE S, PALMDALE, CA 93550-6202
(661) 274-4333
Mailing address
2419 E AVENUE S, PALMDALE, CA 93550-6202
(661) 274-4333
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
34185
CA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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