Individual
GIORGE AREVALO BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5306 SANDSTONE DR, LAS VEGAS, NV 89142-0156
(702) 832-7204
Mailing address
5306 SANDSTONE DR, LAS VEGAS, NV 89142-0156
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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