Individual
JESSICA WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 AVA AVE, ROHNET PAK, CA 94928
(707) 570-7501
Mailing address
512 AVA AVE, ROHNERT PARK, CA 94928-3344
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
143683
CA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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