Individual
JORDAN-NICHOLE MANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(877) 624-0963
Mailing address
3103 ANN CIR SE, RIO RANCHO, NM 87124-1919
(505) 270-0820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23849
NV
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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