Individual
GUILLERMO E. BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MR.
Contact information
Practice address
5525 W EUGIE AVE, GLENDALE, AZ 85304-1231
(602) 978-8723
Mailing address
5525 W EUGIE AVE, GLENDALE, AZ 85304-1231
(602) 978-8723
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2408154
AZ
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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