Individual
STEPHANIE BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
57 DIVISION ST, HOLTSVILLE, NY 11742-1068
(631) 696-8600
(631) 696-8647
Mailing address
PO BOX 561, HOLBROOK, NY 11741-0561
(516) 429-5429
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
273538-1
NY
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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