Individual
ALYSSA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12404 WARWICK BLVD, NEWPORT NEWS, VA 23606-3007
(757) 595-6000
Mailing address
211 HARPERSVILLE RD, NEWPORT NEWS, VA 23601-2301
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230044756
VA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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