Individual
XIERA JAYNE CASTIBLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
630 S GREEN VALLEY PKWY, HENDERSON, NV 89052-0403
(702) 614-8652
Mailing address
630 S GREEN VALLEY PKWY, HENDERSON, NV 89052-0403
(702) 614-8652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH18059
NV
183500000X
Pharmacist
RPH-0018186
OR
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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