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NPI Code Detail

MEDICARE: MONA KIRIAKOS

MEDICARE:   MONA  KIRIAKOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist72525CA

General Provider Information

NPI Number : 1508247511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA KIRIAKOS
Provider Business Mailing Address
First Line : 1923 CEDAR FALLS AVE
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-4147
Country : US
Telephone Number : 925-951-7992
Fax Number :
Provider Business Practice Location Address
First Line : 1923 CEDAR FALLS AVE
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-4147
Country : US
Telephone Number : 925-951-7992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2015
Last Update Date : 06/16/2015

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Directions to “ MONA KIRIAKOS ” Practice Location

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