Individual
MR. JUDE C EZIDIEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.PHARM
Contact information
Practice address
2421 E BONANZA RD, LAS VEGAS, NV 89101-3400
(702) 366-1556
(702) 366-9832
Mailing address
2421 E BONANZA RD, LAS VEGAS, NV 89101-3400
(702) 366-1556
(702) 366-9832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17036
NV
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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