Individual
JESSICA BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS, RVT
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6000
Mailing address
6505 NW 134TH ST, OKLAHOMA CITY, OK 73142-5906
(405) 535-5402
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
212875
OK
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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