Individual
DIANA HAZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10250 W CHARLESTON BLVD, LAS VEGAS, NV 89135-1020
(925) 467-3349
Mailing address
10250 W CHARLESTON BLVD, LAS VEGAS, NV 89135-1020
(925) 467-3349
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
14247
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435654378
MEDICARE, MEDICAID
NV
Enumeration date
08/15/2015
Last updated
08/15/2015
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