Individual
HICHELLE HERNANDEZ MARALIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7845 W FLAMINGO RD, LAS VEGAS, NV 89147-4219
(702) 871-1905
Mailing address
5804 SIERRA MEDINA AVE, LAS VEGAS, NV 89139-7484
(562) 881-5439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16779
NV
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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