Individual
BRIANNA BLACKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3985 E CHEYENNE AVE APT 177, LAS VEGAS, NV 89115-7426
(510) 899-1114
Mailing address
410 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145-5749
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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