Individual
BLAIR MADLAND MILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3151 AIRWAY AVE STE U3, COSTA MESA, CA 92626-4627
(714) 754-8008
Mailing address
1801 E 15TH ST APT C, NEWPORT BEACH, CA 92663-5365
(706) 817-2691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34830
CA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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