Individual
MARIA TERESA MAMALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S BOULDER HWY, HENDERSON, NV 89015-8506
(702) 567-5454
Mailing address
6920 LITTLE GULL CT, NORTH LAS VEGAS, NV 89084-2073
(702) 647-8979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16255
NV
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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