Individual
NICOLE MASAKO PAIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9717
(928) 522-9711
Mailing address
5250 E CORTLAND BLVD APT 21, FLAGSTAFF, AZ 86004-8307
(808) 291-8770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024114
AZ
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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