WAYNE JAMES BLALOCK

SAN ANTONIO, TX
NPI1356967186
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP142612)
Enumeration Date2020-06-17
Last Update Date2022-10-10
Business Address
WAYNE JAMES BLALOCK CRNA
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 303-330-2636
Mailing Address
WAYNE JAMES BLALOCK CRNA
11120 BENNETT DR UNIT 15
BRADENTON, FL 34211-1139
Phone number: 303-330-2636
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