Individual
JENNIE INGUANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8225 W SAHARA AVE STE H, LAS VEGAS, NV 89117-8929
(702) 476-2899
Mailing address
8225 W SAHARA AVE STE H, LAS VEGAS, NV 89117-8929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/16/2011
Last updated
02/12/2026
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