MRS. Anita Jean Regenold
NPI #1154440238 in Bloomington, Illinois
Provider Information
- NPI Number
- 1154440238
- Entity Type
- Individual
- Name
- MRS. Anita Jean Regenold
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy Technician
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2200 E WASHINGTON ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4364
- Phone
- (309) 661-5190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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