Individual
JOCELYNE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 MAIN ST E, MONMOUTH, OR 97361-2369
(503) 838-1182
Mailing address
512 MAIN ST E, MONMOUTH, OR 97361-2369
(714) 400-6028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
03/28/2024
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