Individual provider · NPI-1
Mary Grace P Trias, Pharmacy Technician
Nursing Home Administrator · Lake Elsinore, CA
NPI number1043861313
StatusActive
Last updated in NPPESSep 26, 2019
Details
- NPI
- 1043861313
- Entity type
- Individual (NPI-1)
- Name
- Mary Grace P Trias
- Credential
- Pharmacy Technician
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2019
- Last updated
- Sep 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376G00000X | Nursing Home Administrator | 6048231740 | CA | Yes |
Practice location
31485 Mandy CtLake Elsinore, CA 92530-5124
Phone 951-459-9017 · Fax 951-245-8862
Mailing address
31485 Mandy CtLake Elsinore, CA 92530-5124
Phone 951-459-9017 · Fax 951-245-8862
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