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Etienne Jean De Dieu Matanda Matanda
Pharmacist in Kerman, California
NPI 1811558703

Etienne Jean De Dieu Matanda Matanda is a Pharmacist based in Fresno, CA. Etienne Jean De Dieu Matanda Matanda practices in Kerman, CA. The NPI Number for Etienne Jean De Dieu Matanda Matanda is 1811558703 and holds a License No. 79185 (California).

The current practice location address for Etienne Jean De Dieu Matanda Matanda is 14967 W Whitesbridge Ave, Kerman, CA and can be reached out via phone at 559-842-0030.

Location: 14967 W Whitesbridge Ave, Kerman, CA, 93727-3481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811558703
Provider Name
Etienne Jean De Dieu Matanda Matanda
Credential
Provider Entity Type
Individual
Gender
Male
Address
14967 W Whitesbridge Ave, Kerman, CA, 93727-3481
Phone Number
559-842-0030
Fax Number
Provider Enumeration Date
06/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14967 W Whitesbridge Ave
City
Kerman
State
California
Zip
93630-1111
Phone Number
559-842-0030
Fax Number
person
Provider Business Mailing Address Details
Address
14967 W Whitesbridge Ave
City
Kerman
State
California
Zip
93630-1111
Phone Number
559-842-0030
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
79185 (California)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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