Individual
BLANCA E ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 304-3117
(602) 304-3132
Mailing address
5401 S 7TH AVE, PHOENIX, AZ 85041-4015
(602) 232-4960
(602) 243-2125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP047438
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP047438
NURSING LICENSE
AZ
Enumeration date
09/07/2011
Last updated
09/07/2011
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