Individual
PATRICIA BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3320 WAKE FOREST RD, SUITE 200-A, RALEIGH, NC 27609-7300
(919) 876-5864
(919) 876-7104
Mailing address
2701 BROADLANDS DR, RALEIGH, NC 27604-3712
(919) 850-0775
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103535
NC
Other
Enumeration date
06/26/2006
Last updated
10/05/2007
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