Individual
MARY G ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 DEER VALLEY ROAD, ANTIOCH, CA 94509
(925) 978-8000
Mailing address
3416 DEER VALLEY ROAD, ANTIOCH, CA 94509
(925) 978-8000
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
46927
CA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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