John Blankenship RN

NPI 1093147829 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1093147829
Gender Male
Enumeration Date 08/03/2013
Last Updated 08/03/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
109 LYTTLETON LN
MADISON HEIGHTS VA, 24572-2315, US
Phone (434) 546-1504
Fax
Business Location
109 LYTTLETON LN
MADISON HEIGHTS VA, 24572-2315, US
Phone (434) 546-1504
Fax
Toxanomy
Taxonomy Code 390200000X
License State Virginia
License Number 0001224739
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According to our database, Mr. John Blankenship RN NPI is 1093147829, taxonomy code is 390200000X and license number is 0001224739, license state is located at Virginia. John Blankenship RN physically located at 109 Lyttleton Ln, Madison Heights VA, 24572-2315. NPI Number John Blankenship RN has the Individual type.

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1093147829 NPI number is provided on an as is basis without warranty of any kind. 1093147829 is maintained by the National Plan & Provider Enumeration System. The contents of John Blankenship RN are for informational purposes only.