Individual
KAITLYN NHI VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3933 E CAMELBACK RD, PHOENIX, AZ 85018-2609
(602) 956-2494
Mailing address
5205 W THUNDERBIRD RD APT 2210, GLENDALE, AZ 85306-4861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024170
AZ
Other
Enumeration date
09/04/2019
Last updated
02/12/2020
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