Most Relevant Information
Provider Data
| NPI Number: | 1003575820 |
| Provider Name: | JENNIFER BERNALES |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 16763 |
Most Important Dates
| Enumeration Date: | 12/08/2021 |
| Last Updated: | 12/08/2021 |
Provider Practice Location
9851 W CHARLESTON BLVD
LAS VEGAS
NV
891177516
Practice Location Phone/Fax
| Phone: | 7029461204 |
| Fax: |
Provider Mailing Location
9851 W CHARLESTON BLVD
LAS VEGAS
NV
891177516
Provider Mailing Phone/Fax
| Phone: | 7029461204 |
| Fax: |