Individual
BLAIR PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(760) 995-8300
Mailing address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(760) 995-8300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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