Individual
CODY A BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7020 FRIARS RD, SAN DIEGO, CA 92108-1126
(619) 718-8980
Mailing address
910 S PACIFIC ST, #2, OCEANSIDE, CA 92054-3960
(760) 754-9297
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN213520
CA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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