Individual
QUEENNIE GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 N NELLIS BLVD, LAS VEGAS, NV 89110-5321
(702) 452-8118
Mailing address
PO BOX 91852, HENDERSON, NV 89009-1852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17771
NV
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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