Individual
ALICE BLAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4830 FM 1603, CHATFIELD, TX 75105-0017
(903) 654-8199
Mailing address
PO BOX 17, CHATFIELD, TX 75105-0017
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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