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Individual

BRANDIE NICOLE PENALOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 PINE AVE, LONG BEACH, CA 90802-1331
(562) 435-2083
Mailing address
13723 CARPINTERO AVE, BELLFLOWER, CA 90706-2720
(562) 673-0561

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
04/19/2023
Last updated
04/19/2023
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