Organization
BLANCO FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN BLANCO MD (MEMBER)
(360) 352-7779
Entity
Organization
Contact information
Practice address
436 MCPHEE RD SW, OLYMPIA, WA 98502-5014
(360) 352-7779
Mailing address
436 MCPHEE RD SW, OLYMPIA, WA 98502-5014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025209 MD00036490
WA
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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