Individual
TARA BLANDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 E MAIN ST, YADKINVILLE, NC 27055-8134
(828) 655-2930
Mailing address
PO BOX 1149, NEBO, NC 28761-0964
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
75405
NC
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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