MARISSA BLANCO

LUBBOCK, TX
NPI1386644821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  760444)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: TX  10875)
Enumeration Date2005-07-27
Last Update Date2024-08-13
Business Address
MARISSA BLANCO LPC, FNP
1610 5TH ST
LUBBOCK, TX 79401-2622
Phone number: 806-765-2611
Mailing Address
MARISSA BLANCO LPC, FNP
1610 5TH ST
LUBBOCK, TX 79401-2622
Phone number: 806-765-2611