Individual
CRYSTAL BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
635 ANDERSON RD, SUITE 10, DAVIS, CA 95616-3505
(530) 758-1122
(530) 758-1628
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(866) 681-0736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A121992
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2009
Last updated
05/26/2015
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