Individual
DEVONA DIONE BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11405 W GARFIELD AVE, WAUWATOSA, WI 53226-2225
(414) 551-1363
Mailing address
11405 W GARFIELD AVE, WAUWATOSA, WI 53226-2225
(414) 551-1363
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
163673030
WI
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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