Individual
MISS ANIECA MARIE BLUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
12917 CERISE AVE, HAWTHORNE, CA 90250-5520
(310) 675-4431
Mailing address
12917 CERISE AVE, HAWTHORNE, CA 90250-5520
(310) 675-4431
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
7517483396
CA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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