Individual
ANN BLANCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16251 MAIN ST, GUERNEVILLE, CA 95446-8300
(707) 869-9055
(707) 869-9201
Mailing address
2325 AVENIDA DE LAS BRISAS, SANTA ROSA, CA 95405-8602
(707) 541-7302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43852
CA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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