Individual
ITZAMARI ROCIO TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
210 W DEL MAR BLVD, LAREDO, TX 78041-2205
(956) 712-3251
Mailing address
2518 ALAMO ST, LAREDO, TX 78040-1724
(956) 269-2120
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
306520
TX
183700000X
Pharmacy Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/29/2021
Last updated
09/29/2021
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