Individual
RIAN YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6551 MCCARRAN ST, 3044, NORTH LAS VEGAS, NV 89086-1435
(918) 360-5552
Mailing address
PO BOX 363701, NORTH LAS VEGAS, NV 89036-7701
(918) 360-5552
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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