Individual
CHRISTINE BLACKWELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
(559) 891-1169
Mailing address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
05/01/2015
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