Individual
MARISSA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 LONG BOW LOOP SW, LOS LUNAS, NM 87031-8627
(505) 515-9339
Mailing address
252 LONG BOW LOOP SW, LOS LUNAS, NM 87031-8627
(505) 515-9339
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00006281
NM
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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