Individual
ELIZABETH BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
(248) 216-1501
Mailing address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
(248) 216-1501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704234550
MI
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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