Individual
ANNA DEKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28460 HASKELL CANYON RD, SANTA CLARITA, CA 91390-5203
(661) 513-9240
Mailing address
28460 HASKELL CANYON RD, SANTA CLARITA, CA 91390-5203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53415
CA
Other
Enumeration date
12/03/2011
Last updated
12/04/2011
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