Individual
JULIETA G TABLANTE-BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7455 W WASHINGTON AVE STE 301, LAS VEGAS, NV 89128-4340
(702) 732-3441
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(512) 439-1600
(844) 751-9263
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
4301078930
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
24437
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4485231
—
MI
05
—
4485240
—
MI
Enumeration date
09/27/2005
Last updated
07/11/2024
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