Individual
ALICIA BRITTNEY BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 RAILWAY AVE., SEWARD, AK 99664
(907) 224-5257
Mailing address
33532 VINEWOOD LN, SEWARD, AK 99664-0070
(760) 505-9538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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