Individual
GARY ELDON BLUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5121 KLUMP AVE APT 214, NORTH HOLLYWOOD, CA 91601-4904
(424) 731-2249
(562) 402-3336
Mailing address
5315 TORRANCE BLVD STE B1, TORRANCE, CA 90503-4011
(800) 829-8660
(562) 402-3336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
818001
CA
163WH0200X
Home Health Registered Nurse
818001
CA
163WH1000X
Hospice Registered Nurse
818001
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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