KENNY PHAN

POMONA, CA
NPI1285334912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  84548)
Enumeration Date2023-03-09
Last Update Date2023-03-09
Business Address
KENNY PHAN
4165 FAIRCOVE CT
POMONA, CA 91766-4636
Phone number: 909-306-4624
Mailing Address
KENNY PHAN
4165 FAIRCOVE CT
POMONA, CA 91766-4636
Phone number: 909-306-4624