Individual
JENNIE KITTIPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9090 WILSHIRE BLVD # 250, BEVERLY HILLS, CA 90211-1848
(310) 967-7602
Mailing address
9090 WILSHIRE BLVD # 250, BEVERLY HILLS, CA 90211-1848
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
68098
CA
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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