Individual
DIANA LYNN MARICHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 EDMONDS LN STE 400, LEWISVILLE, TX 75067-6731
(877) 369-6083
Mailing address
PO BOX 14024, ARLINGTON, TX 76094-1024
(904) 673-6242
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
198336
TX
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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