Individual
ODARTEY BLANKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 E AGATE AVE UNIT 204, LAS VEGAS, NV 89123-6060
(708) 646-6933
Mailing address
47 E AGATE AVE UNIT 204, LAS VEGAS, NV 89123-6060
(708) 646-6933
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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