Individual
LAURA JANE KODAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
(702) 382-0784
Mailing address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
(702) 382-0784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15579
NV
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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