Individual
ALISE BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234V GREENWICH ST, DAVENPORT, FL 33896-8889
(321) 337-5636
Mailing address
234V GREENWICH ST, DAVENPORT, FL 33896-8889
(321) 337-5636
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
235446
FL
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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