Individual
ALEXIS BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BASALT DR, FREDERICKSBURG, VA 22406-7228
(540) 903-4971
Mailing address
150 BASALT DR, FREDERICKSBURG, VA 22406-7228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024184831
VA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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