Individual
AMBER BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4535 EL CAMPANA WAY, LAS VEGAS, NV 89121-6506
(702) 541-0118
Mailing address
4535 EL CAMPANA WAY, LAS VEGAS, NV 89121-6506
(702) 541-0118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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