LBM PMHNP

ST AUGUSTINE, FL
NPI1346825015
Entity TypeOrganization
Authorized ContactLATISHSA BLANCHARD
President
402-813-3716
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2021-03-15
Last Update Date2021-03-15
Business Address
LBM PMHNP
109 CEJA WAY
ST AUGUSTINE, FL 32095-4852
Phone number: 402-813-3716
Mailing Address
LBM PMHNP
109 CEJA WAY
ST AUGUSTINE, FL 32095-4852
Phone number: 402-813-3716
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