Audy Emilio Blanco
Case Manager/Care Coordinator in Anchorage, AK. Individual provider (NPI-1).
NPI number1083178867
StatusActive
Last updated in NPPESJan 25, 2019
Details
- NPI
- 1083178867
- Entity type
- Individual (NPI-1)
- Name
- Audy Emilio Blanco
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2019
- Last updated
- Jan 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 1111787 | AK | Yes |
Practice location
4110 Debarr Rd Spc H20Anchorage, AK 99508-3179
Phone 907-268-0825 · Fax 907-644-3072
Mailing address
4110 Debarr Rd Spc H20Anchorage, AK 99508-3179
Phone 907-268-0825 · Fax 907-644-3072
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