Individual provider · Type 1 NPI

Blayson A. Fagbodun

Specialist · Las Vegas, NV

NPI number 1245938307 Active

Practice location

3055 S Nellis Blvd Apt 1034
Las Vegas, NV 89121-7747

Call (702) 969-3512 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245938307

Blayson A. Fagbodun's National Provider Identifier is 1245938307, issued on Feb 20, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 20, 2023.