Provider Demographics
NPI:1316708076
Name:ARREOLA, BLANCHEI BALOY (LP00057493)
Entity type:Individual
Prefix:MRS
First Name:BLANCHEI
Middle Name:BALOY
Last Name:ARREOLA
Suffix:
Gender:F
Credentials:LP00057493
Other - Prefix:
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Mailing Address - Street 1:4821 S KENT DES MOINES RD # B341
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-4212
Mailing Address - Country:US
Mailing Address - Phone:425-899-3300
Mailing Address - Fax:425-899-1740
Practice Address - Street 1:4821 S KENT DES MOINES RD # B341
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-4212
Practice Address - Country:US
Practice Address - Phone:425-899-3300
Practice Address - Fax:425-899-1740
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WALP00057493164X00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No164X00000XNursing Service ProvidersLicensed Vocational Nurse