Individual
KAILYN KYRINE CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 E AVALON, KUNA, ID 83634
(208) 789-4188
(208) 922-3568
Mailing address
700 E AVALON, KUNA, ID 83634
(208) 789-4188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8962
ID
Other
Enumeration date
07/29/2020
Last updated
01/25/2024
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