Individual
EUNICE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 E AVENUE Q13, PALMDALE, CA 93550-5137
(661) 273-3687
Mailing address
44558 10TH ST W, LANCASTER, CA 93534-3333
(661) 723-1111
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
56666
CA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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