Individual
MRS. ERICA LEE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN BM
Contact information
Practice address
119 GAS PLANT RD, DU QUOIN, IL 62832-3866
(618) 542-8702
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043084772
IL
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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