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Individual

DR. TAYLOR HALLON DIWELGAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3041 N RAINBOW BLVD, LAS VEGAS, NV 89108
(702) 656-7331
(702) 656-6732
Mailing address
3041 N RAINBOW BLVD, LAS VEGAS, NV 89108-4586
(602) 656-7331
(702) 656-6732

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
13934686-1701
UT
183500000X
Pharmacist
Primary
22384
NV
183500000X
Pharmacist
PD15847
AR

Other

Enumeration date
07/19/2021
Last updated
04/13/2026
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