Individual
MRS. GEMMA MARIE IBBOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-4028
Mailing address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-4028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
02/18/2015
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