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Individual

MR. EDWARD J BLACHE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
307 ATHANIA PKWY, METAIRIE, LA 70001-5205
(888) 322-6432
(888) 329-6432
Mailing address
307 ATHANIA PKWY, METAIRIE, LA 70001-5205
(888) 322-6432
(888) 329-6432

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN057578
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN057578
LICIENCE #
LA
Enumeration date
01/10/2007
Last updated
09/21/2016
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