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Individual

ROXANA DE BLANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
655 SIENNA PARK CT, RENO, NV 89512-1365
(775) 622-2055
Mailing address
655 SIENNA PARK COURT, RENO, NV 89512
(775) 622-2055

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/10/2012
Last updated
05/10/2012
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