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MRS. CASSANDRA BLAYLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-9457
(424) 259-6823
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
95003118
CA
363LF0000X
Family Nurse Practitioner
95003118
CA

Other

Enumeration date
05/26/2015
Last updated
10/01/2025
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