Altagrace Gilbert Blanchard
NPI #1568252161 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1568252161
- Entity Type
- Individual
- Name
- Altagrace Gilbert Blanchard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 8, 2025
- Last Updated
- May 8, 2025
Practice Location
- Address
- 153 LAKE SHORE RD
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-3157
- Phone
- (844) 815-1508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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