Individual
INES FOMAGA TSOTEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
8316 OVERBROOK RD, LEAWOOD, KS 66206-1542
(316) 768-0098
Mailing address
8316 OVERBROOK RD, LEAWOOD, KS 66206-1542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-103227
KS
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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