Individual
ALISHA HOLLY BLAZEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BA, SANE-A
Contact information
Practice address
402 E 2ND ST, DULUTH, MN 55805-1906
(218) 786-0000
Mailing address
4032 MCCULLOCH ST, DULUTH, MN 55804-1929
(218) 464-3323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
21912530
WI
163W00000X
Registered Nurse
Primary
R1525429
MN
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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