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Individual

DANIEL PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3615 S RAINBOW BLVD, LAS VEGAS, NV 89103-1057
(702) 367-6113
(702) 367-4179
Mailing address
3615 S RAINBOW BLVD, LAS VEGAS, NV 89103-1057
(702) 367-6113
(702) 367-4179

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14070
NV

Other

Enumeration date
11/04/2020
Last updated
11/04/2020
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