Individual
IRALYS PADRON FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6829 MIDPARK CIR, LAS VEGAS, NV 89145-5383
(702) 759-2308
Mailing address
6829 MIDPARK CIR, LAS VEGAS, NV 89145-5383
(702) 759-2308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NV
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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