Individual
MS. SUSAN AUDREY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCH
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-3287
Mailing address
3701 JOY RD, OCCIDENTAL, CA 95465-9352
(707) 874-9171
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH 640
CA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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