Individual
DEELLA L BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2011 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7135
(702) 649-1991
Mailing address
1124 E EL CAMPO GRANDE AVE, NORTH LAS VEGAS, NV 89081-4409
(702) 460-1081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14932
NV
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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