Individual
SANDRA LEE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2192
Mailing address
7800 VILLA FINESTRA DR, LAS VEGAS, NV 89128-6932
(702) 610-6899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN77409
NV
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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