MIRIAM FOMEN FANGA

LAS VEGAS, NV
NPI1063919991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: NV  19831)
Enumeration Date2018-04-08
Last Update Date2018-06-16
Business Address
MIRIAM FOMEN FANGA
4895 BOULDER HWY # 100
LAS VEGAS, NV 89121-3086
Phone number: 702-898-5264
Mailing Address
MIRIAM FOMEN FANGA
2180 E WARM SPRINGS RD UNIT 2163
LAS VEGAS, NV 89119-0449
Phone number: 240-462-1809
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