Individual
AMANDA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120S RAINBOW BLVD 202, LAS VEGAS, NV 89146-6235
(702) 527-6058
(702) 527-6057
Mailing address
2510 E SUNSET RD, LAS VEGAS, NV 89120-3511
(702) 798-0113
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
10/05/2015
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