Individual
KRISTY BLAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 N TREKELL RD, CASA GRANDE, AZ 85122-1770
(520) 836-1029
(520) 836-6733
Mailing address
1901 N TREKELL RD, CASA GRANDE, AZ 85122-1770
(520) 836-1029
(520) 836-6733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN156618
AZ
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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