Mae Anne Segovia Banana

NPI #1184499709 in Fairfield, California

Provider Information

NPI Number: 1184499709
Entity Type: Individual
Name: Mae Anne Segovia Banana
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 24, 2023
Last Updated: Nov 24, 2023

Practice Location

Address: 2590 N TEXAS ST
City: Fairfield
State: California
ZIP Code: 94533-1606
Phone: (707) 399-9329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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