Individual
TENA MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 582-3430
Mailing address
PO BOX 759, TRUCKEE, CA 96160-0759
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
16483
WA
1835P1200X
Pharmacotherapy Pharmacist
17544
NV
1835P1200X
Pharmacotherapy Pharmacist
Primary
50083
CA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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