Individual
JONARD YLARDE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6240 N DURANGO DR STE 120, LAS VEGAS, NV 89149-3941
(954) 923-7440
(954) 923-1299
Mailing address
8432 CAMBRIA CELLARS CT, LAS VEGAS, NV 89139-7164
(702) 493-6071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
813530
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250005414
—
NV
Enumeration date
09/14/2018
Last updated
07/15/2022
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