IVANA P. FUKUMOTO

LAS VEGAS, NV
NPI1114234630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NV  APN001217)
Enumeration Date2010-09-03
Last Update Date2022-11-03
Business Address
Mrs. IVANA P. FUKUMOTO APN
5575 S DURANGO DR STE 103
LAS VEGAS, NV 89113-1834
Phone number: 702-435-5437
Mailing Address
Mrs. IVANA P. FUKUMOTO APN
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113-2133
Phone number: 702-216-3346
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