SearchTennessee101YP2500X

Mark Blanco, M.A., SR. LPE

NPI 1174647226 · on the registry since 2007

Practice

Address
1009 Ash Cir
La Vergne, TN 37086
Phone
(615) 793-6513

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee