Miriam Fomen Fanga
NPI #1063919991 in Las Vegas, Nevada
Provider Information
- NPI Number
- 1063919991
- Entity Type
- Individual
- Name
- Miriam Fomen Fanga
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 8, 2018
- Last Updated
- Jun 16, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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