Individual
DR. TAMARA BOLOS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4155 S GRAND CANYON DR, T-1524, LAS VEGAS, NV 89147-7123
(702) 251-1450
(702) 251-1450
Mailing address
4155 S GRAND CANYON DR, T-1524, LAS VEGAS, NV 89147-7123
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
16934
NV
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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