Individual
MRS. SUE ANN DITTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 N MAIN AVE, SAN ANTONIO, TX 78212-5712
(210) 938-0528
(210) 938-9396
Mailing address
1222 N MAIN AVE, SAN ANTONIO, TX 78212-5712
(210) 938-0528
(210) 938-9396
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100122
TX
Other
Enumeration date
11/26/2012
Last updated
01/11/2021
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