Individual
OBIAGELI MOMODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4905 W TROPICANA AVE, LAS VEGAS, NV 89103-5077
(702) 889-0922
Mailing address
4905 W TROPICANA AVE, LAS VEGAS, NV 89103-5077
(702) 889-0922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
183500000X
Pharmacist
Primary
20461
NV
Other
Enumeration date
11/08/2013
Last updated
12/07/2020
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