Individual
MYREE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2200 W FAIRVIEW AVE, BOISE, ID 83702-6808
(208) 318-1396
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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