Individual
KRYSTA MARIEL NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 W WINNEMUCCA BLVD, WINNEMUCCA, NV 89445-3636
(775) 623-2577
Mailing address
11648 VACANZE CT, LAS VEGAS, NV 89183-5596
(702) 205-2455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23899
NV
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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