Provider Demographics
NPI:1922247840
Name:MEZA, MARIA YOLANDA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:YOLANDA
Last Name:MEZA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 MCDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:90744-1313
Mailing Address - Country:US
Mailing Address - Phone:310-901-0399
Mailing Address - Fax:
Practice Address - Street 1:1614 MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-1313
Practice Address - Country:US
Practice Address - Phone:310-901-0399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH38827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist