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Individual

KENNY TAVOC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
275 N EL CIELO RD STE C325, PALM SPRINGS, CA 92262-6972
(760) 969-6560
Mailing address
26355 SNOWDEN AVE, REDLANDS, CA 92374-2871
(909) 435-8264

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
81113
CA

Other

Enumeration date
12/13/2019
Last updated
12/13/2019
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