Individual
SHANELA BLAS-CATACUTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1834 GLORY LILY CT, LAS VEGAS, NV 89123-3913
(702) 577-6107
Mailing address
2421 E BONANZA RD, LAS VEGAS, NV 89101-3400
(702) 366-1556
(702) 366-9832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17360
NV
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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