Individual
STAR GRACE ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10616 S EASTERN AVE, HENDERSON, NV 89052-2926
(702) 614-8674
(702) 614-8674
Mailing address
10616 S EASTERN AVE, HENDERSON, NV 89052-2926
(702) 614-8674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16303
NV
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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