Individual
JANETH NICHOLE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N 1ST ST, SAN JOSE, CA 95112-6312
(408) 299-0462
Mailing address
800 N 1ST ST, SAN JOSE, CA 95112-6312
(408) 299-0462
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
688578
CA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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