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Individual

MRS. CHRISTIN RENTZEL BLAZEVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-0111
Mailing address
5615 RIDGEDALE AVE, DALLAS, TX 75206-6015
(214) 538-3681

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1073233
TX

Other

Enumeration date
05/19/2022
Last updated
05/19/2022
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