Individual
GERARD BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5351 MONTESSOURI ST, LAS VEGAS, NV 89113-1126
(702) 251-2200
Mailing address
5351 MONTESSOURI ST, LAS VEGAS, NV 89113-1126
(702) 251-2200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3339
NV
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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