Individual
ANNA VONG SAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-1994
Mailing address
3511 DEL PASO RD STE 160, PMB 414, SACRAMENTO, CA 95835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20586
NV
183500000X
Pharmacist
IN05352
NV
Other
Enumeration date
07/07/2020
Last updated
12/02/2021
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