Individual
DAYLENE LYNN BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S CRISMON RD, MESA, AZ 85208-2564
(480) 472-9416
Mailing address
845 S CRISMON RD, MESA, AZ 85208-2564
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN214727
AZ
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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