Individual
MR. JOHN BLANKENSHIP HARTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3388 ISADOR AVE, KINGMAN, AZ 86401-6447
(928) 530-8437
Mailing address
3388 ISADOR AVE, KINGMAN, AZ 86401-6447
(928) 530-8437
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN207664
AZ
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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