Individual
MS. TINA LOUISE BLANKENSHIP I
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.CCC/A
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
103 BIBB AVE, BECKLEY, WV 25801-6744
(304) 253-3656
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0152
WV
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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