Individual
BLANCA LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 623-6116
Mailing address
10631 SCHOONER AVE, GARDEN GROVE, CA 92843-5133
(714) 725-1260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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