Individual
IVONNE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 GRAND SUMMIT DR, 235, RENO, NV 89523-2622
(775) 233-3089
Mailing address
1295 GRAND SUMMIT DR, 235, RENO, NV 89523-2622
(775) 233-3089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001205288
—
NV
Enumeration date
03/24/2012
Last updated
07/21/2012
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