NPI | 1023323888 |
---|---|
Former Name | BRIANA DEE COSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183700000X Pharmacy Technician (Licence: GA 3201050742719) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TN 0000038317) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2010-08-17 |