Individual
BESSIE ROSANA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
14959 PRESTON DR, FONTANA, CA 92336
(909) 429-1528
Mailing address
7965 SIERRA AVE STE E, FONTANA, CA 92336-3329
(909) 356-4459
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN467468
CA
Other
Enumeration date
09/21/2006
Last updated
08/08/2018
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