Individual
DR. VICTORIA MARY BLIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 CARLTON AVE, STOCKTON, CA 95203-1910
(209) 948-7651
Mailing address
612 CARLTON AVE, STOCKTON, CA 95203-1910
(209) 948-7651
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
G058987
CA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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