Susan Burgess

NPI #1003406166 in Fortuna, California

Provider Information

NPI Number: 1003406166
Entity Type: Individual
Name: Susan Burgess
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 22, 2021
Last Updated: Jan 22, 2021

Practice Location

Address: 1058 MAIN ST
City: Fortuna
State: California
ZIP Code: 95540-2009
Phone: (707) 725-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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