Individual
KATRINA BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2533 THOMASON CIRCLE APT 170, ARLINGTON, TX 76006
(817) 525-5476
Mailing address
2533 THOMASON CIR APT 170, ARLINGTON, TX 76006-5020
(817) 525-5476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
896041
TX
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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