Individual
MISS JOVITA ISABEL MANALO NOROMBABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3645 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4321
(702) 474-4089
(702) 522-1046
Mailing address
3645 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4321
(702) 474-4089
(702) 522-1046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15332
NV
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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