Individual
DUSTIN RIVERA GODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10200 DELRAY BEACH AVE UNIT 203, LAS VEGAS, NV 89129-1014
(702) 290-6867
Mailing address
10200 DELRAY BEACH AVE UNIT 203, LAS VEGAS, NV 89129-1014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IN05391
NV
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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