Individual
CHRISTINE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15655 SW 74 CIRCLE DRIVE, MIAMI, FL 33193
(786) 210-4286
Mailing address
15655 SW 74 CIRCLE DRIVE, MIAMI, FL 33193
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI1061
FL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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