ALVIN REYNOLD MORTERA ORALLO

STOCKTON, CA
NPI1104111384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  63011)
Enumeration Date2011-06-15
Last Update Date2011-06-15
Business Address
-- ALVIN REYNOLD MORTERA ORALLO
4707 PACIFIC AVE T-0313
STOCKTON, CA 95207-6301
Phone number: 209-954-9178
Mailing Address
-- ALVIN REYNOLD MORTERA ORALLO
4707 PACIFIC AVE T-0313
STOCKTON, CA 95207-6301
Phone number: 209-954-9178