Individual
CHARISSE BLANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 WYNGARDEN LN, EAST LANSING, MI 48823-2103
(248) 991-4910
Mailing address
1851 WYNGARDEN LN, EAST LANSING, MI 48823-2103
(248) 991-4910
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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