Individual
MRS. CHRISTY LONNETTE BLISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6197
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6197
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2003018699
MO
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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