Most Relevant Information
Provider Data
| NPI Number: | 1003220211 |
| Provider Name: | STACIE KWAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 68182 |
Most Important Dates
| Enumeration Date: | 06/16/2014 |
| Last Updated: | 06/16/2014 |
Provider Practice Location
3225 PANAMA LN
BAKERSFIELD
CA
933133732
Practice Location Phone/Fax
| Phone: | 6613960108 |
| Fax: |
Provider Mailing Location
3225 PANAMA LN
BAKERSFIELD
CA
933133732
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |