Individual
SAMANTHA KATHLEEN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 N GRAND AVE, COVINA, CA 91724-2957
(626) 339-8616
Mailing address
139 N GRAND AVE, COVINA, CA 91724-2957
(626) 339-8616
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
150522
CA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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