Individual
JOSHUA GREY BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1441 9TH AVE UNIT 711, SAN DIEGO, CA 92101-8943
(910) 372-8133
Mailing address
1441 9TH AVE UNIT 711, SAN DIEGO, CA 92101-8943
(910) 372-8133
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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