MELONIE I BLANCANEAUX

FORT DEFIANCE, AZ
NPI1285150664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AK  121575)
Enumeration Date2017-08-17
Last Update Date2017-08-17
Business Address
MELONIE I BLANCANEAUX
TSESHOOTSOOI MEDICAL CENTER CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8587
Mailing Address
MELONIE I BLANCANEAUX
PO BOX 589
FORT DEFIANCE, AZ 86504-0589
Phone number: