Individual
MRS. JO ELLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7223 FAIR OAKS BLVD, CARMICHAEL, CA 95608
(916) 483-9961
(916) 483-9998
Mailing address
205 BITTERCREEK DRIVE, FOLSOM, CA 95630
(916) 983-2899
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7106
CA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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