IndividualActive
Blayson Fagbodun
NPI 1245938307 · Specialist · Las Vegas, NV
Provider details
- NPI number
- 1245938307
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
3055 S Nellis Blvd Apt 1034
Las Vegas, NV 89121-7747
Phone: (702) 969-3512
Approximate (ZIP-level) locationGet directions
Mailing address
3055 S Nellis Blvd Apt 1034
Las Vegas, NV 89121-7747
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2023-02-20
- Certified
- 2023-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.