Individual
MS. MELENEE D. BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 E 6TH AVE, ANCHORAGE, AK 99508-2120
(907) 231-7739
(907) 332-0809
Mailing address
4010 E 6TH AVE, ANCHORAGE, AK 99508-2120
(907) 231-7739
(907) 332-0809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM19751
—
AK
Enumeration date
11/30/2006
Last updated
03/05/2015
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