Individual
SOMSAVAI KEODARA LISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6825 N DURANGO DR, LAS VEGAS, NV 89149-4594
(702) 260-8242
(702) 260-7225
Mailing address
6574 FENCE JUMPER AVE, LAS VEGAS, NV 89131-0222
(702) 396-0394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15771
NV
183500000X
Pharmacist
54056
CA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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