Individual
BLASI ANN WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
757 S STATE ST STE 2, FAIRMONT, MN 56031-4438
(507) 238-2390
Mailing address
757 S STATE ST STE 2, FAIRMONT, MN 56031-4438
(507) 238-2390
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2930
MN
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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