Emmanuel Amil Detera

NPI #1891930020 in Viera, Florida

Provider Information

NPI Number: 1891930020
Entity Type: Individual
Name: Emmanuel Amil Detera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Dec 2, 2008
Last Updated: Dec 2, 2008

Practice Location

Address: 2900 VETERANS WAY
City: Viera
State: Florida
ZIP Code: 32940-8007
Phone: (321) 637-3788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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