Provider Demographics
NPI:1003509068
Name:MAY, TAMEKIA LASHAWN
Entity type:Individual
Prefix:
First Name:TAMEKIA
Middle Name:LASHAWN
Last Name:MAY
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 1:1766 AVENIDA ENTRADA
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-4301
Mailing Address - Country:US
Mailing Address - Phone:909-419-6746
Mailing Address - Fax:
Practice Address - Street 1:1050 N MOUNTAIN AVE
Practice Address - Street 2:ONTARIO
Practice Address - City:CA
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-986-1509
Practice Address - Fax:909-988-9689
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician