Individual
RITA CHANVISANURUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3760 E SUNSET RD, LAS VEGAS, NV 89120-3233
(702) 458-4004
(702) 454-3053
Mailing address
3760 E SUNSET RD, LAS VEGAS, NV 89120-3233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16468
NV
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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