Individual
KEVIN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7717
(702) 266-8050
Mailing address
342 E NEAL AVE, LAS VEGAS, NV 89183-5501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23314
NV
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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