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Individual

ANGEL IVAN DEL REAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1255 BARING BLVD, SPARKS, NV 89434-8673
(775) 359-6900
Mailing address
1255 BARING BLVD, SPARKS, NV 89434-8673
(775) 359-6900

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
19082
NV

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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