Individual
AMANDA ANN BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26208 EDGEMONT DR, HIGHLAND, CA 92346-1600
(909) 800-2422
Mailing address
26208 EDGEMONT DR, HIGHLAND, CA 92346-1600
(909) 800-2422
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
705958
CA
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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