Tanner James Blank
Tanner James Blank is a Student in an Organized Health Care Education/Training Program in Longmeadow, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
588 Longmeadow StLongmeadow, MA 01106-2292
Phone: (413) 565-1317
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1023859113 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 4, 2024 |
| Last updated in NPPES | June 4, 2024 |
| Certification date | June 4, 2024 |
| Mailing address | 588 Longmeadow St, Longmeadow, MA 01106-2292 |
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