Individual
BLANCEY MICHAEL YONKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4425 W WASHINGTON AVE, LAS VEGAS, NV 89107-2056
(702) 624-1533
Mailing address
4425 W WASHINGTON AVE, LAS VEGAS, NV 89107-2056
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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