Individual
DR. ILENA JOYCE BLICKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
435 ARDEN AVE, SUITE 540, GLENDALE, CA 91203-1130
(818) 240-1677
(818) 240-0147
Mailing address
435 ARDEN AVE, SUITE 540, GLENDALE, CA 91203-1130
(818) 240-1677
(818) 240-0147
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G19424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G194240
—
CA
Enumeration date
02/09/2006
Last updated
07/08/2007
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