Individual
BROOKLYN L BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC II
Contact information
Practice address
769 W BLAINE ST STE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
Mailing address
769 W BLAINE ST STE B, RIVERSIDE, CA 92507-3970
(951) 206-2276
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
11/18/2025
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