Individual
MS. ALLYSON KAY VANDER BROEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2210 SUNRISE BLVD, RANCHO CORDOVA, CA 95670
(916) 638-0214
(916) 638-2513
Mailing address
11668 N CARSON WAY, GOLD RIVER, CA 95670-8106
(916) 858-0901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH41808
CA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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