Kayla Phengmanivanh, RPH

NPI #1871301812 in Clovis, California

Provider Information

NPI Number: 1871301812
Entity Type: Individual
Name: Kayla Phengmanivanh, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 23, 2024
Last Updated: Dec 23, 2024

Practice Location

Address: 785 N MEDICAL CENTER DR W STE 203
City: Clovis
State: California
ZIP Code: 93611-6878
Phone: (559) 387-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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