MORRELL JEROME LAVENDER

SAN DIEGO, CA
NPI1760714828
Former NameMORRELL JEROME LEGHORN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: CA  81495)
Enumeration Date2010-01-31
Last Update Date2014-03-14
Business Address
MORRELL JEROME LAVENDER
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-7560
Mailing Address
MORRELL JEROME LAVENDER
1705 CROSSROADS ST
CHULA VISTA, CA 91915-1840
Phone number: 619-415-1203