Individual
MALISA BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E APPLE ST STE 1480, DAYTON, OH 45409-2939
(937) 208-3220
Mailing address
30 E APPLE ST STE 1480, DAYTON, OH 45409-2939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009283RX
OH
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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