Individual
DR. TIFFANY HAZEL MENCIAS BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1006 N H ST FL 3, ABERDEEN, WA 98520-2521
(360) 537-6332
(360) 537-6322
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD61151105
WA
Other
Enumeration date
04/26/2018
Last updated
09/13/2021
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