LATISHA MICHELLE BLANCHARD

GREEN COVE SPRINGS, FL
NPI1619595733
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11007925)
Enumeration Date2020-07-07
Last Update Date2023-02-13
Business Address
LATISHA MICHELLE BLANCHARD PMHNP
623 OAK ST
GREEN COVE SPRINGS, FL 32043-4313
Phone number: 904-531-9752
Mailing Address
LATISHA MICHELLE BLANCHARD PMHNP
141 DOSEL LN
ST AUGUSTINE, FL 32095-4859
Phone number: 949-313-5263
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