Individual
LUZ BLANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 SAN JOSE BLVD STE J, JACKSONVILLE, FL 32257-6257
(904) 504-7887
Mailing address
1648 EVANS DR S, JACKSONVILLE BEACH, FL 32250-2583
(904) 504-7887
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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