Most Relevant Information
Provider Data
| NPI Number: | 1003513185 |
| Provider Name: | FELICIA BLANKEN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP61277538 |
Most Important Dates
| Enumeration Date: | 02/09/2023 |
| Last Updated: | 02/09/2023 |
Provider Practice Location
9720 S TACOMA WAY
LAKEWOOD
WA
984994456
Practice Location Phone/Fax
| Phone: | 2535033666 |
| Fax: |
Provider Mailing Location
9720 S TACOMA WAY
LAKEWOOD
WA
984994456
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |