Provider Demographics
NPI:1396253894
Name:YAMBAO, FRANCIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:YAMBAO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 NE 66TH ST UNIT 734
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5693
Mailing Address - Country:US
Mailing Address - Phone:760-717-1094
Mailing Address - Fax:
Practice Address - Street 1:7112 N FRESNO ST STE 460
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2947
Practice Address - Country:US
Practice Address - Phone:760-717-1094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-18
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60781058183500000X
CARPH80520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist