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Deandra Dion Blanco

Nurse Practitioner in Boynton Beach, FL. Individual provider (NPI-1).

NPI number1104615558
StatusActive
Last updated in NPPESMay 2, 2025

Details

NPI
1104615558
Entity type
Individual (NPI-1)
Name
Deandra Dion Blanco
Sex
Female
Sole proprietor
Yes
Enumeration date
May 2, 2025
Certification date
May 2, 2025
Last updated
May 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner110337825FLYes

Practice location

10710 Grande Palladium Way
Boynton Beach, FL 33436-5063

Phone 786-238-6703

Mailing address

10710 Grande Palladium Way
Boynton Beach, FL 33436-5063

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