Individual
ABRAHAM INOCENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5385 ALTON PKWY, IRVINE, CA 92604-8609
(949) 733-8226
Mailing address
14851 BRAEBURN RD, TUSTIN, CA 92780-6214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60073
CA
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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