Individual
DR. KRISTIN NICOLE SAUVAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 MERLE HAY RD, DES MOINES, IA 50310-1411
(515) 276-4845
Mailing address
308 COURT AVE APT 410, DES MOINES, IA 50309-2445
(515) 419-9689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20617
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20617
PHARMACIST LICENSE NUMBER
IA
Enumeration date
09/09/2007
Last updated
09/09/2007
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