Individual provider · Type 1 NPI
Etienne Jean de Dieu Matanda Matanda
Pharmacist · Kerman, CA
Practice location
14967 W Whitesbridge Ave
Kerman, CA 93630-1111
Mailing address
285 S Kona Ave
Fresno, CA 93727-3481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 79185 (CA) |
Pharmacist: 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…
2 other providers at this address
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About NPI 1811558703
Etienne Jean de Dieu Matanda Matanda's National Provider Identifier is 1811558703, issued on Jun 22, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kerman, CA. The record was last updated on Jun 22, 2019.