Individual
EDELYN FRILLARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 S DURANGO DR, LAS VEGAS, NV 89147-4158
(702) 895-9503
Mailing address
4055 S DURANGO DR, LAS VEGAS, NV 89147-4158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16496
NV
Other
Enumeration date
06/20/2011
Last updated
03/13/2012
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