Individual
DR. DALE ALPHONSO ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3717 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4384
(702) 262-0635
(702) 262-0896
Mailing address
3717 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4384
(702) 262-0635
(702) 262-0896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16051
NV
183500000X
Pharmacist
RP00007008
NM
Other
Enumeration date
08/24/2010
Last updated
11/23/2012
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