Individual
SUSANNA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 N 5TH ST, PHILADELPHIA, PA 19140-1423
(215) 455-7330
(215) 455-2990
Mailing address
4530 N 5TH ST, PHILADELPHIA, PA 19140-1423
(215) 455-7330
(215) 455-2990
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30229643
PA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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