Individual
STEPHANIE WITTHOEFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 N 14TH ST APT B, LAS VEGAS, NV 89101-7439
(415) 424-9854
Mailing address
204 W PACIFIC AVE, HENDERSON, NV 89015-7376
(702) 565-1020
(702) 565-1035
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
NV
Enumeration date
08/10/2019
Last updated
08/10/2019
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