Individual
MICHELLE MIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
801 S PAVILION CENTER DR, LAS VEGAS, NV 89144-4566
(702) 352-2053
Mailing address
9031 KINGSDALE CT, LAS VEGAS, NV 89147-6837
(702) 234-6369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18632
NV
183500000X
Pharmacist
S020173
AZ
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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