Provider Demographics
NPI:1720783566
Name:TURNER, KATRINA JO ANN
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:JO ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 MANGROVE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3947
Mailing Address - Country:US
Mailing Address - Phone:530-891-6722
Mailing Address - Fax:530-345-0412
Practice Address - Street 1:650 MANGROVE AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3947
Practice Address - Country:US
Practice Address - Phone:530-891-6722
Practice Address - Fax:530-345-0412
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCH48963183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician