Individual
KENDALL ANN BLANCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 ELM ST, MANCHESTER, NH 03101-1305
(603) 314-1701
Mailing address
172 KINSLEY ST, NASHUA, NH 03060-3648
(603) 882-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
03/18/2025
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