Individual
SUSAN BATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MAIN ST, LIVINGSTON, CA 95334-1428
(209) 394-8416
(209) 394-7704
Mailing address
500 MAIN ST, LIVINGSTON, CA 95334-1428
(209) 394-8416
(209) 394-7704
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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