Individual
MRS. BARBARA ALICE WIENTJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
121 TUNSTEAD AVE, SAN ANSELMO, CA 94960-2616
(415) 454-1451
(415) 454-2865
Mailing address
PO BOX 536, WOODACRE, CA 94973-0536
(415) 454-1451
(415) 454-2865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 39784
CA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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