Derick Blackson
Derick Blackson is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
3674 N Rancho Dr 101Las Vegas, NV 89130-3110
Phone: (702) 396-2988
Fax: (510) 281-6883
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1659785806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2014 |
| Last updated in NPPES | June 16, 2014 |
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