Individual
MISS JACQUELINE DAYLE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2280 N LAS VEGAS BLVD, NORTH LAS VEGAS, NV 89030-5803
(702) 649-1415
Mailing address
2251 E HANCOCK ST STE 100, NEWBERG, OR 97132-2145
(971) 281-3060
(971) 281-3061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018868
OR
Other
Enumeration date
09/29/2011
Last updated
11/06/2025
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