Individual
MR. JOHN ROY BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
701 RUSTADS CIR, WILLIAMSBURG, VA 23188-1086
(757) 450-8477
Mailing address
701 RUSTADS CIR, WILLIAMSBURG, VA 23188-1086
(757) 450-8477
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
0002096163
VA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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