Individual
MA JANICE MENDOZA LEONCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 S VERMONT AVE, LOS ANGELES, CA 90006-4525
(323) 735-0774
Mailing address
1815 S VERMONT AVE, LOS ANGELES, CA 90006-4525
(323) 735-0774
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30220748
CA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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