Individual
BRUCE BLATCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10755 APPLE VALLEY RD, APPLE VALLEY, CA 92308-3684
(760) 247-9840
Mailing address
10755 APPLE VALLEY RD, APPLE VALLEY, CA 92308-3684
(760) 247-9840
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
08/31/2018
Last updated
05/01/2025
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