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Individual
CRISTINA MARIE BLANCO
Active
Individual
CRISTINA MARIE BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI2218
FL
235Z00000X
Speech-Language Pathologist
Primary
SA14965
FL
235Z00000X
Speech-Language Pathologist
SZ7368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015741400
—
FL
Enumeration date
12/17/2013
Last updated
01/16/2020
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