Individual
KATHRYN ANTILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W CAPITOL AVE, WEST SACRAMENTO, CA 95605-2624
(916) 403-2824
Mailing address
3983 VALLEY VISTA DR, CAMINO, CA 95709-9503
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
11828
CA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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