Individual
JASMINE NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W LAKE MEAD PKWY, HENDERSON, NV 89015-7379
(714) 495-7974
Mailing address
7227 W WINDMILL LN UNIT 124, LAS VEGAS, NV 89113-4605
(714) 495-7974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18902
NV
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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