Tadelu W Mariam

NPI #1992339832 in Las Vegas, Nevada

Provider Information

NPI Number: 1992339832
Entity Type: Individual
Name: Tadelu W Mariam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 1, 2020
Last Updated: Mar 1, 2020

Practice Location

Address: 8060 W TROPICAL PKWY
City: Las Vegas
State: Nevada
ZIP Code: 89149-4528
Phone: (702) 839-3625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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