Individual
STEPHANIE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9196 W PHILLIPS DR, LITTLETON, CO 80128-8121
(303) 960-9365
Mailing address
9196 W PHILLIPS DR, LITTLETON, CO 80128-8121
(303) 960-9365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1693242
CO
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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