Individual
ANASTASIA BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 N INGALLS ST, ANN ARBOR, MI 48109-2003
(734) 764-3811
Mailing address
426 N INGALLS ST, ANN ARBOR, MI 48109-2003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704363026
MI
Other
Enumeration date
05/31/2024
Last updated
06/05/2024
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