Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Etienne Jean de Dieu Matanda Matanda

Individual provider Pharmacist · NPI 1811558703

Etienne Jean de Dieu Matanda Matanda is a Pharmacist in Kerman, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

14967 W Whitesbridge Ave
Kerman, CA 93630-1111
Phone: (559) 842-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 79185 (CA)

Record details

NPI number1811558703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 22, 2019
Last updated in NPPESJune 22, 2019

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