Individual
STEPHANIE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 PAMELA ST APT 30, LEESBURG, FL 34748-3437
(352) 460-6383
Mailing address
1350 PAMELA ST APT 30, LEESBURG, FL 34748-3437
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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