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Individual

HAILEY BLIZNIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
(509) 453-6144
Mailing address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
(509) 453-6144

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60767082
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60879548
WA

Other

Enumeration date
06/11/2018
Last updated
03/03/2021
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