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MRS. MELVA BLANQUERA BAILON ARNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1649329046

Individual Registrant:
MRS. MELVA BLANQUERA BAILON ARNP
Gender: F
Sole Proprietor

Location and contact information for practice:
890 W MAIN ST  LAKELAND, GA 31635-1322 US
Tel: 229-482-3804  Fax: 229-482-9768

Contact information for business:
890 W MAIN ST  LAKELAND, GA 31635-1322 US
Tel: 229-482-3804  Fax: 229-482-9768

Registration Information:
NPI: 1649329046
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN073825 NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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