MRS. Susara A Ten Brink

NPI #1083016588 in Ukiah, California

Provider Information

NPI Number: 1083016588
Entity Type: Individual
Name: MRS. Susara A Ten Brink
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 16, 2014
Last Updated: Sep 16, 2014

Practice Location

Address: 1315 N STATE ST
City: Ukiah
State: California
ZIP Code: 95482-3419
Phone: (707) 468-5156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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