Blanco, Millicena D
Blanco, Millicena D is an sole proprietor health care provider with primary practice located at 675 Highway 314 Sw Apt 663 , Los Lunas NM 87031-7310. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Blanco, Millicena D can be contacted via phone (505) 389-6587.Contact Information
Primary practice address
675 Highway 314 Sw Apt 663
Los Lunas NM 87031-7310
Phone: (505) 389-6587
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 103K00000X | New Mexico |
Profile Details
| NPI number | 1447945092 |
|---|---|
| LBN Legal business name | Blanco, Millicena D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2023 |
| Last updated | Apr 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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