Individual
MS. PENNY BLANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 SH 310 STE 2, CANTON, NY 13617-1436
(315) 386-2325
(315) 386-2203
Mailing address
80 SH 310 SUITE 2, CANTON, NY 13617-1476
(315) 386-2325
(315) 386-2203
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
423148-1N
NY
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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