Individual
AMANDA ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26180 IRIS AVE, MORENO VALLEY, CA 92555-3004
(951) 601-2468
Mailing address
26180 IRIS AVE, MORENO VALLEY, CA 92555-3004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75187
CA
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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