Individual
MR. ODINEIL BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1670 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 758-9000
Mailing address
1610 DEVONSHIRE DR, OXNARD, CA 93030-8756
(310) 347-1056
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95261127
CA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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