Wayne Matsumura
Pharmacy Technician in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1437651973
StatusActive
Last updated in NPPESMar 1, 2018
Details
- NPI
- 1437651973
- Entity type
- Individual (NPI-1)
- Name
- Wayne Matsumura
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2018
- Last updated
- Mar 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | PT14996 | NV | Yes |
| 183700000X | Pharmacy Technician | 10033978 | – |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086
Phone 702-791-9000
Mailing address
1012 Seabury Hill CtLas Vegas, NV 89128-2053
Phone 949-394-0004
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