Individual
DAVID JOSEPH BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
798 JOHN CHANEY RD, RIDGELEY, WV 26753-8500
(301) 697-5909
Mailing address
798 JOHN CHANEY RD, RIDGELEY, WV 26753-8500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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