Individual
MRS. KIMBERLY BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
226 LUSHER COURT, FRISCO, CO 80443
(970) 207-7171
Mailing address
226 LUSHER COURT, FRISCO, CO 80443-9997
(970) 207-7171
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN.0176139
CO
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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