Individual
MR. VICTOR MANUEL RENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1633 GREMLIN WAY, SPRING VALLEY, CA 91977
(619) 713-6514
(866) 380-1013
Mailing address
1633 GREMLINWAY, SPRING VALLEY, CA 91977
(619) 713-6514
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5052
CA
Other
Enumeration date
04/03/2008
Last updated
10/08/2009
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