Provider / Organization | NPI | Date Certified |
---|---|---|
KIM TRANDANG | 1396349254 | 2020-11-22 |
Kim Trandang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396349254. Registration indicates Kim Trandang is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Kim Trandang |
Practice Office Address | 4855 KIETZKE LN RENO, NV US |
Practice Office Telephone | 7758291995 |
Practice Office Fax | 7758292942 |
Mailing Address | 360 JACKSON SPRINGS DR RENO, NV 895236863 US |
Business Telephone | 7756365077 |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 16589
NV |