KHANTHALY PHOMMATA

OLATHE, KS
NPI1225757065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: KS  14-100562)
Enumeration Date2022-08-24
Last Update Date2022-08-24
Business Address
KHANTHALY PHOMMATA
2101 E SANTA FE ST
OLATHE, KS 66062-1606
Phone number: 913-782-2323
Mailing Address
KHANTHALY PHOMMATA
1034 E COTTAGE CREEK CIR
GARDNER, KS 66030-8406
Phone number: