Tiana Blackburn PSYD CANDIDATE

NPI 1275949588 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1275949588
Gender Female
Enumeration Date 07/08/2014
Last Updated 09/16/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3200 MOTOR AVE
LOS ANGELES CA, 90034-3710, US
Phone (310) 836-1223
Fax
Business Location
PO BOX 1602
LOMPOC CA, 93438-1602, US
Phone (805) 757-1847
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Ms. Tiana Blackburn PSYD CANDIDATE NPI is 1275949588, taxonomy code is 390200000X Tiana Blackburn PSYD CANDIDATE physically located at 3200 Motor Ave, Los Angeles CA, 90034-3710. NPI Number Tiana Blackburn PSYD CANDIDATE has the Individual type.

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1275949588 NPI number is provided on an as is basis without warranty of any kind. 1275949588 is maintained by the National Plan & Provider Enumeration System. The contents of Tiana Blackburn PSYD CANDIDATE are for informational purposes only.