| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE KWAN | 1942899687 | 2021-01-17 |
Stephanie Kwan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942899687. Registration indicates Stephanie Kwan is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Stephanie Kwan |
| Practice Office Address | 2636 MARCONI AVE SACRAMENTO, CA US |
| Practice Office Telephone | 9164856917 |
| Mailing Address | 2357 NORTHROP AVE APT 116G SACRAMENTO, CA 958257212 US |
| Business Telephone | 4155038766 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | RPH82312
CA |