Individual
CLAUDIA BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19272 MEDFORD CT, HAYWARD, CA 94541-1911
(510) 723-4182
Mailing address
25125 SANTA CLARA ST # E143, HAYWARD, CA 94544-2165
(510) 723-4182
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D2896165
DRIVER LICENSE
CA
Enumeration date
12/28/2021
Last updated
12/28/2021
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