Individual provider · NPI-1

Maria Cristina Gonzalez

Pharmacy Technician · Port Saint Lucie, FL

NPI number1730633348
StatusActive
Last updated in NPPESAug 11, 2016

Details

NPI
1730633348
Entity type
Individual (NPI-1)
Name
Maria Cristina Gonzalez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2016
Last updated
Aug 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy TechnicianRpt 62213FLYes
183700000X Pharmacy Technician9973PR

Practice location

2504 Se Anchorage Cv Apt B-3
Port Saint Lucie, FL 34952-6202

Phone 772-475-1833

Mailing address

2504 Se Anchorage Cv Apt B-3
Port Saint Lucie, FL 34952-6202

Phone 772-475-1833

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