Individual
KEVIN BLUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4230 PAYNE AVE, APT # 3, SAN JOSE, CA 95117-3327
(408) 849-6544
Mailing address
4230 PAYNE AVE, APT # 3, SAN JOSE, CA 95117-3327
(408) 849-6544
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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