Individual
RATHA D. TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3201
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16788
NV
Other
Enumeration date
09/12/2011
Last updated
01/18/2017
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