Individual
ISAIH COLE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 KENTUCKY ST, EL CAMPO, TX 77437-5767
(979) 578-8609
(979) 578-8621
Mailing address
306 N MECHANIC ST, EL CAMPO, TX 77437-4420
(979) 332-9295
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
320144
TX
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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