Blaylock, James L

Blaylock, James L is an individual health care provider with primary practice located at 3133 N Millbrook Ave , Fresno CA 93703-1425. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Blaylock, James L can be contacted via phone (559) 600-9180.

Contact Information

Primary practice address
3133 N Millbrook Ave Fresno CA 93703-1425
Phone: (559) 600-9180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 35805 California
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X

Profile Details

NPI number 1770102238
LBN Legal business name Blaylock, James L
Credentials LPT-LMHW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2020
Last updated Dec 8th, 2020 - about 5 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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