Individual
MS. HEATHER RAELYN BLACKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41847 JOHNSTON AVE, HEMET, CA 92544-7535
(951) 445-1550
Mailing address
41847 JOHNSTON AVE, HEMET, CA 92544-7535
(951) 445-1550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95037248
CA
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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