Individual
INA BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 S PADDOCK ST, APT 10, PONTIAC, MI 48342-3179
(586) 404-3435
Mailing address
245 S PADDOCK ST, APT 10, PONTIAC, MI 48342-3179
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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