Individual
ALYSSA NICOLE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BEN HUR RD, BATON ROUGE, LA 70820
(786) 804-0321
Mailing address
777 BEN HUR RD, BATON ROUGE, LA 70820
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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