Individual
MRS. MARIA ELIZABETH MACASIL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7685 S RAINBOW BLVD, LAS VEGAS, NV 89139-5477
(702) 614-3094
Mailing address
261 DUCK HOLLOW AVE, LAS VEGAS, NV 89148-4421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15160
NV
Other
Enumeration date
09/19/2011
Last updated
09/20/2011
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