Individual
MRS. ANNETTE DOROTHY BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9900 VIENNA PL, DULLES, VA 20189-9900
(431) 320-0367
(131) 339-2915
Mailing address
9900 VIENNA PL, DULLES, VA 20189-9900
(431) 320-0367
(131) 339-2915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
502428
TX
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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