Individual
CHERRO DEBLASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
4764 E BONANZA RD, GILBERT, AZ 85297-7453
(505) 544-6592
Mailing address
4764 E BONANZA RD, GILBERT, AZ 85297-7453
(505) 544-6592
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
261166
AZ
Other
Enumeration date
01/03/2022
Last updated
01/11/2022
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