Individual
DANIEL BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(650) 367-5636
Mailing address
3898 MONTEREY DR, GROVE CITY, OH 43123-2842
(614) 832-5308
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
1605
CA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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