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Individual

CARLA SUE HERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TECHNICIAN

Contact information

Practice address
2485 TECH DR, BETTENDORF, IA 52722-3262
(563) 355-1611
(563) 355-6617
Mailing address
2485 TECH DR, BETTENDORF, IA 52722-3262
(563) 355-1611
(563) 355-6617

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
330101051150255
IA
374700000X
Technician
Primary

Other

Enumeration date
03/18/2015
Last updated
03/19/2015
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