Individual
MR. SONNY JAMES IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3320 SUNRISE AVE, SUITE 104, LAS VEGAS, NV 89101-4864
(702) 557-2018
Mailing address
3320 SUNRISE AVE, SUITE 104, LAS VEGAS, NV 89101-4864
(702) 557-2018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2011
Last updated
11/10/2011
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