Individual
AMY LEIGH BLICKHAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
28755 EL TORO RD, LAKE ELSINORE, CA 92532-1912
(951) 249-4693
Mailing address
28755 EL TORO RD, LAKE ELSINORE, CA 92532-1912
(951) 249-4693
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
476931
CA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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