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Individual

MECHELE INEZ ROESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
VACCINATING TECH

Contact information

Practice address
230 S MAIN ST, ANGELS CAMP, CA 95222-9359
(209) 736-4623
(209) 736-9406
Mailing address
230 S MAIN ST, ANGELS CAMP, CA 95222-9359
(209) 736-4626
(209) 736-9406

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH50829
CA
183700000X
Pharmacy Technician
Primary
TCH73928
CA

Other

Enumeration date
05/19/2023
Last updated
05/19/2023
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