Individual
IVANA FORD-NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 W SAHARA AVE, STE B200, LAS VEGAS, NV 89146-2832
(702) 629-6982
Mailing address
4638 WHITE HEAD CT, LAS VEGAS, NV 89147-4746
(559) 779-3429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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