Individual
MS. MONVELIA THERESA BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4233 S 273RD PL, AUBURN, WA 98001-2025
(253) 852-8618
Mailing address
4233 S 273RD PL, AUBURN, WA 98001-2025
(253) 852-8618
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AP30005009
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB13486
—
WA
Enumeration date
09/25/2006
Last updated
12/14/2012
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