Individual
BLAKE JOSEPH EDMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1813 W CALDWELL AVE STE B, VISALIA, CA 93277-8003
(559) 625-1100
(559) 625-1110
Mailing address
1813 W CALDWELL AVE STE B, VISALIA, CA 93277-8003
(559) 625-1100
(559) 625-1110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC36359
CA
Other
Enumeration date
03/09/2022
Last updated
06/14/2022
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