Individual
SHANON OLIVAS OVALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
350 W LAKE MEAD PKWY, HENDERSON, NV 89015-7379
(702) 216-1900
(702) 216-1910
Mailing address
350 W LAKE MEAD PKWY, HENDERSON, NV 89015-7379
(702) 216-1900
(702) 216-1910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19108
NV
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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