Individual
ALICIA BLANCO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 S EASTERN AVE, LAS VEGAS, NV 89119-3948
(702) 646-2722
Mailing address
6725 S EASTERN AVE, LAS VEGAS, NV 89119-3948
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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