Individual
DANETTE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3930 NW 2ND ST, MIAMI, FL 33126-5712
(305) 495-3949
Mailing address
3930 NW 2ND ST, MIAMI, FL 33126-5712
(305) 495-3949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112687
FL
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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