Individual
MR. ROBERT DALE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1876 E SABIN DR, BUILDING A, CASA GRANDE, AZ 85122-6197
(520) 836-2536
Mailing address
1178 S PARK GROVE CT, GILBERT, AZ 85296-0914
(480) 857-9848
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN092547
AZ
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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