Rian Youngblood
Rehabilitation Practitioner in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1174936645
StatusActive
Last updated in NPPESJun 3, 2014
Details
- NPI
- 1174936645
- Entity type
- Individual (NPI-1)
- Name
- Rian Youngblood
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2014
- Last updated
- Jun 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
6551 McCarran St3044
North Las Vegas, NV 89086-1435
Phone 918-360-5552
Mailing address
Po Box 363701North Las Vegas, NV 89036-7701
Phone 918-360-5552
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