Individual
JONATHAN PAUL BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 AIRPORT BLVD STE 790, BURLINGAME, CA 94010-1908
(650) 517-8220
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
08/25/2025
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