Individual
DEBRA ANN BLAHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9114 REIFS MILLS RD, WHITELAW, WI 54247-9724
(920) 901-9677
Mailing address
9114 REIFS MILLS RD, WHITELAW, WI 54247-9724
(920) 901-9677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324130-31
WI
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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