Individual
BLAS VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
421 W BROADWAY, #3164, LONG BEACH, CA 90802-9407
(562) 794-6765
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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