Individual
ELANA CAITLYN IMASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 N RAMPART BLVD, LAS VEGAS, NV 89128-7640
(702) 256-5200
Mailing address
11218 PENTLAND DOWNS ST, LAS VEGAS, NV 89141-4361
(702) 816-9218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24314
NV
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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