Individual
EBONI MARINI TERRANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
220 SYLVANIA AVE, SANTA CRUZ, CA 95060-2161
(831) 469-0366
(831) 469-0281
Mailing address
220 SYLVANIA AVE, SANTA CRUZ, CA 95060
(831) 469-0366
(831) 469-0281
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
61970
CA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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