Individual
EMMA BALOYO SICAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10091 BONHAM CT, LAS VEGAS, NV 89148-7605
(323) 356-1217
Mailing address
10091 BONHAM CT, LAS VEGAS, NV 89148-7605
(323) 356-1217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16680
NV
Other
Enumeration date
06/28/2015
Last updated
06/28/2015
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