Individual
KENNETH NEAL BLEU I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2605 E 2ND ST, NATIONAL CITY, CA 91950-2013
(619) 791-9864
Mailing address
2155 FELSPAR ST APT 9, SAN DIEGO, CA 92109-3626
(619) 782-2014
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3258207
LICENSE
CA
Enumeration date
03/09/2026
Last updated
03/09/2026
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