Provider Demographics
NPI:1497402598
Name:TAPIA, ESTHER MARIELLE
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:MARIELLE
Last Name:TAPIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28995 NEWPORT RD
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-8069
Mailing Address - Country:US
Mailing Address - Phone:951-301-8119
Mailing Address - Fax:
Practice Address - Street 1:28995 NEWPORT RD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-8069
Practice Address - Country:US
Practice Address - Phone:951-301-8119
Practice Address - Fax:951-301-8441
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA164305183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician