NPI | 1669828166 |
---|---|
Professional Name | CASI BLANTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11022342A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 86268) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2022-06-15 |