Stella Grace Katisi

NPI #1750921458 in Fort Bragg, California

Provider Information

NPI Number: 1750921458
Entity Type: Individual
Name: Stella Grace Katisi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 9, 2020
Last Updated: Jan 9, 2020

Practice Location

Address: 490 S MAIN ST
City: Fort Bragg
State: California
ZIP Code: 95437-4806
Phone: (707) 964-1848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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