Individual
MICHELLE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 WALNUT ST, FRUITA, CO 81521-2099
(970) 773-1827
Mailing address
1142 WALNUT ST, FRUITA, CO 81521-2099
(970) 773-1827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200156
CO
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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