Individual
BLAIR A EATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 15TH AVE SW STE A, PUYALLUP, WA 98371-7873
(855) 581-0100
(855) 329-3973
Mailing address
2080 N TUSTIN AVE STE B, SANTA ANA, CA 92705-7875
(855) 581-0100
(855) 329-3973
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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