| NPI | 1043372725 |
|---|---|
| Professional Name | DYLAN LAVON BLANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 200041293RN) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-09 |