Individual
JERAL LEE ANN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
1120 VALLEY VISTA AVE, WALLA WALLA, WA 99362-8714
(509) 660-0068
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN00146530
WA
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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