Individual
JOANN KAY BLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13591 COUNTY ROAD 420, TYLER, TX 75704-2215
(903) 521-5012
Mailing address
13591 COUNTY ROAD 420, TYLER, TX 75704-2215
(903) 521-5012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
667841
TX
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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