Femke Blaylock

NPI 1073911905 - Community Health Worker - 172V00000X

NPI Details
NPI 1073911905
Gender Female
Enumeration Date 12/09/2014
Last Updated 12/09/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
4732 S 131ST ST
OMAHA NE, 68137-1822, US
Phone (402) 697-3923
Fax (402) 697-3924
Business Location
1025 N PARK AVE
FREMONT NE, 68025-4168, US
Phone (940) 435-1485
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Femke Blaylock NPI is 1073911905, taxonomy code is 172V00000X Femke Blaylock physically located at 4732 S 131st St, Omaha NE, 68137-1822. NPI Number Femke Blaylock has the Individual type.

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1073911905 NPI number is provided on an as is basis without warranty of any kind. 1073911905 is maintained by the National Plan & Provider Enumeration System. The contents of Femke Blaylock are for informational purposes only.