Individual
BLAYSON A FAGBODUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 S NELLIS BLVD APT 1034, LAS VEGAS, NV 89121-7747
(702) 969-3512
Mailing address
3055 S NELLIS BLVD APT 1034, LAS VEGAS, NV 89121-7747
(702) 969-3512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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