DR. Vivian L Blanco, MD

NPI #1124112073 in Olympia, Washington

Provider Information

NPI Number: 1124112073
Entity Type: Individual
Name: DR. Vivian L Blanco, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 3, 2006
Last Updated: Nov 27, 2007

Practice Location

Address: 436 MCPHEE RD SW
City: Olympia
State: Washington
ZIP Code: 98502-5014
Phone: (360) 352-7779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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