Individual
MRS. CAROL ANN BARNES-BLANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23672 BIRTCHER DR UNIT A, LAKE FOREST, CA 92630-1711
(949) 770-7301
(949) 770-0634
Mailing address
23672 BIRTCHER DR UNIT A, LAKE FOREST, CA 92630-1711
(949) 770-7301
(949) 770-0634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A46666
CA
Other
Enumeration date
07/21/2006
Last updated
05/16/2018
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