Tablante-Blanco, Julieta G

Tablante-Blanco, Julieta G is an sole proprietor health care provider with primary practice located at 7455 W Washington Ave Ste 301 , Las Vegas NV 89128-4340. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Tablante-Blanco, Julieta G can be contacted via phone (702) 732-3441.

Contact Information

Primary practice address
7455 W Washington Ave Ste 301 Las Vegas NV 89128-4340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 24437 Nevada
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 4301078930 Michigan

Profile Details

NPI number 1750377495
LBN Legal business name Tablante-Blanco, Julieta G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Jul 11th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750377495 NPPES
Michigan MEDICAID 4485240
Michigan MEDICAID 4485231

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