Individual
LISA PAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 HEALDSBURG AVE, HEALDSBURG, CA 95448-3846
(707) 431-1119
(707) 431-0457
Mailing address
414 DELORES LN, SANTA ROSA, CA 95407-7907
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
160584
CA
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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