KEN BLACKBURN

SPARKS, NV
NPI1699084608
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-09-26
Last Update Date2010-09-26
Business Address
-- KEN BLACKBURN
480 GALLETTI WAY
SPARKS, NV 89431-5564
Phone number: 775-333-0943
Mailing Address
-- KEN BLACKBURN
7491 AMBUSH CT
SPARKS, NV 89436-7459
Phone number: