Melonie I Blancaneaux
NPI #1285150664 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1285150664
- Entity Type
- Individual
- Name
- Melonie I Blancaneaux
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 17, 2017
- Last Updated
- Aug 17, 2017
Practice Location
- Address
- TSESHOOTSOOI MEDICAL CENTER
- Address 2
- CORNER OF ROUTE N12 AND N7
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504
- Phone
- (928) 729-8587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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