Individual
JENNIFER MICHELLE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
221 WESTWOOD PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-7930
(310) 267-1996
Mailing address
221 WESTWOOD PLZ, LOS ANGELES, CA 90095-1703
(310) 825-7930
(310) 267-1996
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
659701
CA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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