Individual
GIYAE LEE-THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3644 S FORT APACHE RD APT 2145, LAS VEGAS, NV 89147-3419
(702) 802-9867
Mailing address
PO BOX 401480, LAS VEGAS, NV 89140-1480
(702) 802-9867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15128
NV
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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