Individual
JENNY VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3578
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10102104-1701
UT
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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