Individual
BRYAN J BLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5037 STROMING RD, MARIPOSA, CA 95338-0099
(209) 966-7770
(209) 966-8251
Mailing address
PO BOX 99, MARIPOSA, CA 95338-0099
(209) 966-7770
(209) 966-8251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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