Individual
JEAN NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RX TECH
Contact information
Practice address
6331 OAKDALE RD, RIVERBANK, CA 95367-9646
(209) 869-9055
(209) 869-9057
Mailing address
16300 ORANGE BLOSSOM RD, OAKDALE, CA 95361-9569
(209) 881-3527
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
37987
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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