Individual
MR. ANSON BLANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
110 IRVING ST NW, BB 43, WASHINGTON, DC 20010-3017
(202) 877-9355
Mailing address
53 VICTOR ST NE, APT. 1, WASHINGTON, DC 20011-5065
(910) 840-3112
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
659409
NC
Other
Enumeration date
11/28/2011
Last updated
05/23/2013
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