Individual
WIZZA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5960 PALMILLA ST UNIT 10, NORTH LAS VEGAS, NV 89031-4144
(702) 738-9741
Mailing address
5960 PALMILLA ST UNIT 10, NORTH LAS VEGAS, NV 89031-4144
(702) 738-9741
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
01/15/2022
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