JANUARY BLALOCK

RAINSVILLE, AL
NPI1902344658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-090285)
Enumeration Date2017-02-02
Last Update Date2017-02-10
Business Address
-- JANUARY BLALOCK CRNP
504 MCCURDY AVE S STE 6
RAINSVILLE, AL 35986-5254
Phone number: 256-638-9161
Mailing Address
-- JANUARY BLALOCK CRNP
PO BOX 649
RAINSVILLE, AL 35986-0649
Phone number: 256-638-9161