Individual
KATHY AUDREY TERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
280 SIERRA COLLEGE DR STE 210, GRASS VALLEY, CA 95945-5769
(530) 273-8452
Mailing address
10859 WALKER DR, GRASS VALLEY, CA 95945-6912
(530) 216-9163
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
136265
CA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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