NPI 1043861313

Mary Grace P Trias, PHARMACYTECHNICIAN

Practitioner Nursing Home Administrator Lake Elsinore, CA

Practice location

Address: 31485 Mandy CT, Lake Elsinore, CA 92530-5124
Phone: (951) 459-9017
Fax: (951) 245-8862

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence 6048231740 (CA)

Other Nursing Home Administrator providers in California →

Registry record

NPI: 1043861313
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2019
Record last updated: 26 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.