Individual
NAMPHUONG LEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9460 GILES RD, LA VISTA, NE 68128-3064
(402) 513-4214
Mailing address
9460 GILES RD, LA VISTA, NE 68128-3064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15482
NE
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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