Individual
TSEDALE T LEGESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6973 BLUE DIAMOND RD, LAS VEGAS, NV 89178-9213
(702) 408-3596
Mailing address
10039 VALLEY RIDGE CT, LAS VEGAS, NV 89148-7602
(616) 516-3843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18555
NV
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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