Individual
BRONDON BLANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4628 TORREYANA WAY, LAS VEGAS, NV 89108-2894
(702) 485-7620
Mailing address
4628 TORREYANA WAY, LAS VEGAS, NV 89108-2894
(702) 485-7620
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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