Individual
IVY ROSE HERNAL VOLONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-8331
Mailing address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-8331
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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