Individual
TOLEFAC AKEM TABANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1/2 MILE S OF MP 394.3, KAYENTA HEALTH CENTER, KAYENTA, AZ 86033
(240) 899-8677
Mailing address
1/2 MILE S OF MP 394.3, KAYENTA, AZ 86033
(240) 899-8677
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
0202215386
VA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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