Individual
MISS VANESSA JONE BLODGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10880 DEODAR WAY, RENO, NV 89506-9064
(775) 786-4168
Mailing address
1277 LULLABROOKE CT, SPARKS, NV 89436-3738
(775) 303-3182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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