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Individual

MRS. ELAINE BARTOLOME SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3480 S JONES BLVD, LAS VEGAS, NV 89146-6709
(702) 871-1405
(702) 871-1657
Mailing address
3036 PALACE GATE CT, LAS VEGAS, NV 89117-2536
(702) 871-1405
(702) 871-1657

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
NV13454
NV

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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