Individual
MS. ANN MARIE BLAZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29306 45TH PL SO, AUBURN, WA 98001
(206) 653-7915
(206) 653-7915
Mailing address
29306 45TH PL SO, AUBURN, WA 98001
(206) 653-7915
(206) 653-7915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00115346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34571227
DSHS CONTRACT NUMBER
—
Enumeration date
03/28/2008
Last updated
03/28/2008
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