Individual
VIVIAN YANIRA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2881 S VALLEY VIEW BLVD, LAS VEGAS, NV 89102-0100
(702) 253-1031
Mailing address
2881 S VALLEY VIEW BLVD, LAS VEGAS, NV 89102-0100
(702) 253-1031
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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