Blanco, Amanda Dora

Blanco, Amanda Dora is an individual health care provider with primary practice located at 242 W 4Th St , San Dimas CA 91773-2125. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Blanco, Amanda Dora can be contacted via phone (626) 905-1569.

Contact Information

Primary practice address
242 W 4Th St San Dimas CA 91773-2125
Phone: (626) 905-1569
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 95065011 California
Nursing Service Providers / Registered Nurse 163W00000X 95065011 California

Profile Details

NPI number 1144901349
LBN Legal business name Blanco, Amanda Dora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2023
Last updated Jul 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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