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Individual

KENDALL A MEMBRENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2655 SHASTA WAY, KLAMATH FALLS, OR 97603
(541) 884-1780
Mailing address
822 CORTE BAYA VIS, OXNARD, CA 93030-8054
(626) 202-3610

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
57199
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0016207
OR

Other

Enumeration date
05/09/2008
Last updated
07/18/2018
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