Individual
MICHELLE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 RAMBLEWOOD AVE, LAS VEGAS, NV 89128-6726
(702) 985-7988
Mailing address
7900 RAMBLEWOOD AVE, LAS VEGAS, NV 89128-6726
(702) 985-7988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18893
NV
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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