Individual
HANNAH BLALACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
166 DOTSON ST, ROCK HILL, SC 29732-2334
(803) 327-2012
(803) 327-4198
Mailing address
166 DOTSON STREET, ROCK HILL, SC 29732
(803) 327-2012
(803) 327-4198
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
219333
SC
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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