Sutedja, Gina

Sutedja, Gina is an individual health care provider with primary practice located at 200 West Hospital Drive , Whiteriver AZ 85941. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sutedja, Gina can be contacted via phone (928) 338-3502.

Contact Information

Primary practice address
200 West Hospital Drive Whiteriver AZ 85941
Phone: (928) 338-3502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHA.0020505 Colorado

Profile Details

NPI number 1770980369
LBN Legal business name Sutedja, Gina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Nov 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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