LISA DIANE BLACKETTER

VICTORIA, TX
NPI1851630040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209010216)
Enumeration Date2013-02-07
Last Update Date2024-10-10
Business Address
LISA DIANE BLACKETTER CRNA
2701 HOSPITAL DR
VICTORIA, TX 77901-5749
Phone number: 361-573-9181
Mailing Address
LISA DIANE BLACKETTER CRNA
2701 HOSPITAL DR
VICTORIA, TX 77901-5749
Phone number: 361-573-9181
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