Individual
AMANDA RAROGAL NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7135
(702) 642-9780
Mailing address
2011 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7135
(702) 642-9780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18987
NV
183500000X
Pharmacist
3847
HI
183500000X
Pharmacist
60467165
WA
Other
Enumeration date
09/23/2014
Last updated
07/08/2015
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