Individual
MR. JAMES TODD BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1042 BELHAVEN AVE, SHREVEPORT, LA 71118-3404
(318) 671-1538
Mailing address
1042 BELHAVEN AVE, SHREVEPORT, LA 71118-3404
(318) 671-1538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN105696
LA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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