Individual
VERONICA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 W VISTA WAY, VISTA, CA 92083-5704
(760) 758-1150
(760) 758-1808
Mailing address
9808 VENICE BLVD, 700, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 840-7023
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
547369
CA
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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