Individual provider · NPI-1

Aida Angelica Gonzalez

Pharmacy Technician · Moreno Valley, CA

NPI number1104526979
StatusActive
Last updated in NPPESMar 9, 2023

Details

NPI
1104526979
Entity type
Individual (NPI-1)
Name
Aida Angelica Gonzalez
Sex
Female
Sole proprietor
No
Enumeration date
Mar 9, 2023
Certification date
Mar 9, 2023
Last updated
Mar 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy TechnicianTCH46708CAYes

Practice location

24991 Alessandro Blvd
Moreno Valley, CA 92553-5708

Phone 951-485-4450 · Fax 951-485-4920

Mailing address

24991 Alessandro Blvd
Moreno Valley, CA 92553-5708

Phone 951-485-4450 · Fax 951-485-4920

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