Individual
HEATHER ANN FAGAN THOMPSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
6868 SKY POINTE DR, 2063, LAS VEGAS, NV 89131-6101
(702) 576-7243
Mailing address
6868 SKY POINTE DR, 2063, LAS VEGAS, NV 89131-6101
(702) 576-7243
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT02778
NV
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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