Individual
DR. KRISTIN CHARYL KIESER GASCOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., CGP
Contact information
Practice address
933 NORTHRUP ST, SAN JOSE, CA 95126-3727
(408) 298-3020
(408) 298-3020
Mailing address
933 NORTHRUP ST, SAN JOSE, CA 95126-3727
(408) 298-3020
(408) 298-3020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
42172
CA
1835G0303X
Geriatric Pharmacist
Primary
2380
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2380
CGP
VA
01
—
345238
NABP
IL
01
—
42172
RPH
CA
Enumeration date
05/30/2013
Last updated
05/30/2013
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