Individual
JORDANNE BLANCHE KOULONG KUEMENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1950 E FRY BLVD, SIERRA VISTA, AZ 85635-2705
(520) 458-5638
Mailing address
1232 E SILVER ST, TUCSON, AZ 85719-3148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027619
AZ
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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