Individual
ANGELIQUE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 ALADDIN LAMP ST, HENDERSON, NV 89002-9375
(702) 439-1677
(702) 430-8288
Mailing address
2470 ALADDIN LAMP ST, HENDERSON, NV 89002-9375
(702) 439-1677
(702) 430-8288
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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