Individual
KERRY FAY FIXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH LICENS
Contact information
Practice address
21949 VENTURA BLVD, WOODLAND HILLS, CA 91364-1725
(881) 348-5542
Mailing address
162 CAMINO RUIZ, CAMARILLO, CA 93012-6782
(805) 201-5059
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH21621
CA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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