Individual
GUS DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5545 SIMMONS ST, NORTH LAS VEGAS, NV 89031-9005
(702) 646-2650
Mailing address
2604 ROCK PIGEON AVE, NORTH LAS VEGAS, NV 89084-3748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18005
NV
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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