Individual
WAYNE MATSUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086
(702) 791-9000
Mailing address
1012 SEABURY HILL CT, LAS VEGAS, NV 89128-2053
(949) 394-0004
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
10033978
—
183700000X
Pharmacy Technician
Primary
PT14996
NV
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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