SearchCalifornia183500000X

Kikelomo Tairu-Mack

NPI 1508628421 · on the registry since 2024

Practice

Address
456 S Madera Ave
Kerman, CA 93630
Phone
(559) 846-7115
Organisation at this address
Thrifty Payless Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California