Individual
LARRY DEAN BLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
444 BRUCE ST, YREKA, CA 96097-3450
(530) 842-4121
Mailing address
PO BOX 1505, YREKA, CA 96097-1505
(530) 340-1467
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
534621
CA
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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