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Individual

NANIKO DIONNE LARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
4051 CATHEDRAL FALLS AVE, NORTH LAS VEGAS, NV 89085-4469
(702) 290-8199
Mailing address
4051 CATHEDRAL FALLS AVENUE, NORTH LAS VEGAS, NV 89085
(702) 290-8199

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051291714
IL
183500000X
Pharmacist
17156
NV
183500000X
Pharmacist
Primary
S015430
AZ

Other

Enumeration date
09/24/2010
Last updated
09/24/2010
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