Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETIENNE JEAN DE DIEU MATANDA MATANDA
Active Sole ProprietorETIENNE JEAN DE DIEU MATANDA MATANDA is a Pharmacist healthcare provider located in KERMAN, California. NPI 1811558703 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · KERMAN, CA
Registration Details
- NPI Number
- 1811558703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2019 (7.1384255715931 yrs)
- Last Updated
- Jun 22, 2019
- License
-
79185 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14967 W WHITESBRIDGE AVEKERMAN, CA, 936301111Browse CA providers · Browse ZIP 93630
- Phone
- 5598420030
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in KERMAN, CA
| Name | Credential | NPI |
|---|---|---|
| DANIEL EMENIKE OGBUEHI | RPH | 1285933044 |
| NATALIE NG | — | 1306135363 |
| DENNIS ELEK | RPH | 1255745485 |
| JACOB AVERY KOONTZ | — | 1831503002 |
| RAQUEL GUEVARRA ABULENCIA | RPH | 1528468865 |
| DR. TONY NGUYEN | PHARMD | 1306247978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.