Individual
JONATHON WILL BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10478 THORNDALE ST, ADELANTO, CA 92301-4887
(909) 545-3372
Mailing address
10478 THORNDALE ST, ADELANTO, CA 92301-4887
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
Y8933054
CA
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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