Kikelomo Raykiat Tairu-Mack

NPI #1508628421 in Kerman, California

Provider Information

NPI Number
1508628421
Entity Type
Individual
Name
Kikelomo Raykiat Tairu-Mack
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jan 25, 2024
Last Updated
Jan 25, 2024

Practice Location

Address
456 S MADERA AVE
City
Kerman
ZIP Code
93630-1538
Phone
(559) 846-7115

Specialties & Taxonomy Codes

Specialty
Pharmacist

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