Individual
LEA RAMONA MERCADO FRAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 LEMMON DRIVE, RENO, NV 89506
(755) 677-6874
Mailing address
305 LEMMON DR, RENO, NV 89506-6746
(775) 677-6874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21155
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21155
NEVADA STATE BOARD OF PHARMACY
NV
Enumeration date
10/03/2021
Last updated
04/25/2022
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