Individual
AMIT MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
845 S MAIN ST, WILLITS, CA 95490-3915
(707) 456-1790
Mailing address
1470 RIESLING CT, UKIAH, CA 95482-3374
(571) 245-0090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75945
CA
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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