Individual
VANESSA KHALIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-3202
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-3202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77786
LICENSE
CA
Enumeration date
06/15/2018
Last updated
07/11/2018
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