Individual
MRS. CHANICE D NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 W CHEYENNE AVE, LAS VEGAS, NV 89129-7262
(702) 655-7258
(702) 655-7295
Mailing address
8487 BENICASIM CT, LAS VEGAS, NV 89178-4803
(702) 655-7258
(702) 655-7295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17439
NV
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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