Individual
JAN LAUREEN BLOUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1001 PORTERO AVENUE, WARD 95, SAN FRANCISCO, CA 94110
(415) 206-3956
Mailing address
524 COLUMBUS AVE # 21, SAN FRANCISCO, CA 94133-2802
(415) 399-1196
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
225908
CA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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