Individual
EMMANUEL EBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COMMUNITY COLLEGE DRIVE, LAS VEGAS, NV 89146
(702) 486-4400
Mailing address
6161 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7325
NV
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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