Individual
MRS. NICOLE BLANCO-YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4811 HARDWARE DR NE, BLDG E-1, ALBUQUERQUE, NM 87109-2017
(505) 268-5933
(505) 268-0184
Mailing address
4811 HARDWARE DR NE, BLDG E-1, ALBUQUERQUE, NM 87109-2017
(505) 268-5933
(505) 268-0184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C6087
NM
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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