| NPI | 1861413783 |
|---|---|
| Former Name | HEATHER MAGALLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: NV 17268) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 13232) |
| 1835P1300X Pharmacist, Psychiatric (Licence: AZ 13232) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 17268) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2015-01-13 |