Provider Demographics
NPI:1679922959
Name:GARCIA-JAYNE, SONIA (DO)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:GARCIA-JAYNE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2645 W HORIZON RIDGE PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2899
Mailing Address - Country:US
Mailing Address - Phone:702-790-2211
Mailing Address - Fax:702-790-2316
Practice Address - Street 1:2645 W HORIZON RIDGE PKWY STE 120
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-790-2211
Practice Address - Fax:702-790-2316
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO2535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine