IDA PRAILE SORONGON

LAS VEGAS, NV
NPI1700225844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NV  APN001519)
Enumeration Date2013-06-21
Last Update Date2019-10-09
Business Address
IDA PRAILE SORONGON NURSE PRACTITIONER
3343 S EASTERM AVENUE
LAS VEGAS, NV 89169
Phone number: 702-731-0909
Mailing Address
IDA PRAILE SORONGON NURSE PRACTITIONER
8936 SPANISH RIDGE AVE
LAS VEGAS, NV 89148-1354
Phone number: 702-998-2816