Individual
BLANCA PLACIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 W SHAW AVE STE 101, FRESNO, CA 93711-3242
(559) 457-6960
(559) 573-3511
Mailing address
797 BLUEBERRY LN, MADERA, CA 93638-9335
(559) 871-2528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/04/2020
Last updated
08/05/2021
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