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Individual

SHAIRA MAE BRONOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6001 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 396-0917
Mailing address
6001 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 396-0917

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT22858
NV

Other

Enumeration date
04/10/2022
Last updated
04/10/2022
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