Individual
MRS. MA ANGELICA SUNGA BUENAVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21154 HIGHWAY 421, HYDEN, KY 41749
(606) 672-3811
Mailing address
21154 HIGHWAY 421, HYDEN, KY 41749
(606) 672-3811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015329
KY
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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