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Individual

MRS. ROSA MARIA BLACKSTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
1300 N. FIRST STREET, YAKIMA, WA 98901-9890
(509) 853-4327
(509) 853-1007
Mailing address
4003 CREEKSIDE LOOP, YAKIMA, WA 98908-3962
(509) 248-6616
(509) 225-2708

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
AP61202162
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61202162
WA

Other

Enumeration date
08/03/2021
Last updated
02/10/2023
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