Most Relevant Information
Provider Data
| NPI Number: | 1003415662 |
| Provider Name: | MARJORIE CAROL VICENCIO VALDEZ PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 83028 |
Most Important Dates
| Enumeration Date: | 10/23/2020 |
| Last Updated: | 10/23/2020 |
Provider Practice Location
313 WASHINGTON ST
SAN DIEGO
CA
921032109
Practice Location Phone/Fax
| Phone: | 6192917170 |
| Fax: |
Provider Mailing Location
313 WASHINGTON ST
SAN DIEGO
CA
921032109
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |