Individual
JESSICA ANN BLAHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 1/2 N 4TH AVE, WAUSAU, WI 54401-2824
(715) 550-0554
Mailing address
823 1/2 N 4TH AVE, WAUSAU, WI 54401-2824
(715) 550-0554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169049
WI
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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