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Individual

MRS. SONYA L BLAQUIERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BC-HIS

Contact information

Practice address
8060 W TROPICAL PKWY, LAS VEGAS, NV 89149-4528
(702) 656-8484
(702) 656-4699
Mailing address
8060 W TROPICAL PKWY, LAS VEGAS, NV 89149-4528
(702) 656-8484
(702) 656-4699

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7616
UT

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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