Individual
HAYDE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 QUEENSGATE DR, RICHLAND, WA 99352
(509) 627-7501
Mailing address
2941 QUEENSGATE DR, RICHLAND, WA 99352-9101
(509) 627-7501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016898
OR
Other
Enumeration date
11/20/2018
Last updated
01/03/2019
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