Individual
KIMBERLY SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4100 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7717
(702) 266-8050
Mailing address
4100 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7717
(702) 266-8050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20889
NV
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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