Individual
ELISHA BLANKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MEREDITH DR, SUITE 200, DURHAM, NC 27713-2287
(919) 361-1090
(888) 354-2009
Mailing address
PO BOX 244, BUTNER, NC 27509-0244
(919) 361-1090
(888) 354-2009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
08/23/2012
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