Individual
DOMINIC ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9420 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 363-5247
(702) 363-5023
Mailing address
9420 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16810
NV
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
About Stedi
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