Individual
ASHLEY LOGAN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 APPLEBLOSSOM TIME AVE, NORTH LAS VEGAS, NV 89031-2378
(702) 502-7873
Mailing address
921 APPLEBLOSSOM TIME AVE, NORTH LAS VEGAS, NV 89031-2378
(702) 502-7873
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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