Individual
ANGEL RAINBOW OSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TECHNICIAN
Contact information
Practice address
9390 DESCHUTES RD, PALO CEDRO, CA 96073-9763
(530) 547-4403
(530) 547-4845
Mailing address
9390 DESCHUTES RD, PALO CEDRO, CA 96073-9763
(530) 547-4403
(530) 547-4845
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
106026
CA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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