Individual
KRISTINA F BLASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 NOBLES FERRY RD, LIVE OAK, FL 32064-8463
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5254261
FL
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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