Individual
ANDREW JEREMIAH BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 LOMA ALTA AVENUE, EASTFIELD MING QUONG INC, SAN JOSE, CA 95136-4923
(408) 835-5689
Mailing address
409 LOMA ALTA AVE, EASTFIELD MING QUONG, SAN JOSE, CA 95136-4923
(408) 835-5689
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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