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Individual

ANDREA REGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4051 DOUGLAS BLVD, GRANITE BAY, CA 95746-5901
(916) 791-7576
Mailing address
5607 BENHENRY CT, ROCKLIN, CA 95677-4503
(916) 315-3379

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50998
CA

Other

Enumeration date
09/22/2011
Last updated
09/22/2011
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