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Individual

JENIFER BLANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3050 E BONANZA RD STE 110B, LAS VEGAS, NV 89101-3706
(702) 754-0606
(702) 754-0605
Mailing address
1917 SEDONA PASEO LN, LAS VEGAS, NV 89128-8287
(818) 371-6495

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036582
NY
225100000X
Physical Therapist
Primary
4116
NV

Other

Enumeration date
03/30/2016
Last updated
04/28/2021
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