Individual
BRANDY DAWN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
925 MARINA BAY DR SLIP 25, KEMAH, TX 77565-2574
(254) 716-8005
Mailing address
925 MARINA BAY DR SLIP 25, KEMAH, TX 77565-2574
(254) 716-8005
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
794686
TX
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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