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Individual

CARLA BLIEDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
6744 BALBOA BLVD, LAKE BALBOA, CA 91406-5532
(818) 854-1347
(818) 787-7256
Mailing address
6744 BALBOA BLVD, LAKE BALBOA, CA 91406-5532
(818) 854-1347
(818) 787-7256

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62827
CA

Other

Enumeration date
05/25/2011
Last updated
09/18/2019
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