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Individual

DR. MERCY ANN BANZON ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4391 E WASHINGTON AVE, LAS VEGAS, NV 89110-5715
(702) 452-2937
(702) 459-4726
Mailing address
4391 E WASHINGTON AVE, LAS VEGAS, NV 89110-5715
(702) 452-2937
(702) 459-4726

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051302956
IL
183500000X
Pharmacist
Primary
19653
NV
183500000X
Pharmacist
PH-4358
HI

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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