Individual
IVONA PROKOLAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49908 JEFFERSON ST, INDIO, CA 92201-9720
(760) 771-4524
Mailing address
79420 PASEO DEL REY, LA QUINTA, CA 92253-7218
(760) 534-0289
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
62664
CA
Other
Enumeration date
04/02/2015
Last updated
02/03/2020
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