Individual
MS. CAROLYN E HINO-BOURASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 W WABASH AVE, EUREKA, CA 95501-2121
(707) 441-0920
(707) 441-0923
Mailing address
PO BOX 246, GARBERVILLE, CA 95542-0246
(707) 923-3399
(707) 923-3539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37122
CA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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