Individual
KAYLA LY TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18420 N 19TH AVE, PHOENIX, AZ 85023-1361
(480) 992-6610
Mailing address
18420 N 19TH AVE, PHOENIX, AZ 85023-1361
(480) 993-6610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022756
AZ
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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