Individual
IVY HAZELL LEGARDA LAPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
560107010216794
NV
183700000X
Pharmacy Technician
PT12498
NV
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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